Mind Glow Therapy LLC
Mind Glow Therapy LLC provides Clinical Social Worker services in St Petersburg, Florida. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4440 58th Ave NSt Petersburg, FL 33714-1017
Phone: (727) 300-0063
Fax: (727) 594-4048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1235973371 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ronald Dayton — Credentialing Manager · (727) 300-0063 |
| NPI enumerated | June 24, 2024 |
| Last updated in NPPES | June 24, 2024 |
| Certification date | June 24, 2024 |
| Mailing address | 4440 58th Ave N, St Petersburg, FL 33714-1017 |
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