Surrendering Minds Llc

LBN: Surrendering Minds Llc
Surrendering Minds Llc is an health care organization with primary practice located at 11627 Hickory Oak Dr , Jacksonville FL 32218-9078. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty. Surrendering Minds Llc can be contacted via phone (904) 316-4420, or through Anthony, Lauren via phone (904) 316-4420.

Contact Information

Primary practice address
11627 Hickory Oak Dr Jacksonville FL 32218-9078
Phone: (904) 316-4420
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anthony, Lauren Licensed Clinical Social Worker (LCSW)
Phone: (904) 316-4420

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1144717497
LBN Legal business name Surrendering Minds Llc
DBA Doing business as
Authorized official Anthony, Lauren Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2018
Last updated Apr 21st, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144717497 NPPES
Florida MEDICAID 1245622323

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