NPI 1720526387 · live from the CMS NPI Registry
A Change Of Mind, LLC
Social Worker, Clinical in Naples, FL. National Provider Identifier 1720526387, active.
NPI record
| NPI | 1720526387 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 5020 Tamiami Trail N, Suite 202, Naples, FL 34103 |
| Practice phone | 239-260-4387 |
| Enumerated | February 3, 2017 |
| Last updated | January 4, 2018 |
| Authorized official | Heidi Wilson, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health | 251S00000X | SW9293 (FL) |
| Social Worker, Clinical primary | 1041C0700X | SW9293 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.