Reconstructed Minds, LLC
NPI #1336822584 in Land O Lakes, Florida
Provider Information
- NPI Number
- 1336822584
- Entity Type
- Organization
- Organization Name
- Reconstructed Minds, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Aug 14, 2023
- Last Updated
- Aug 14, 2023
Practice Location
- Address
- 22436 SOUTHSHORE DR
- City
- Land O Lakes
- State
- Florida
- ZIP Code
- 34639-4638
- Phone
- (304) 654-7557
Authorized Official
- Name
- TERRY DANIELSON JR.
- Title
- CEO
- Phone
- (740) 646-2580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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