Azul Mindspace LLC

NPI #1508648072 in Bokeelia, Florida

Provider Information

NPI Number: 1508648072
Entity Type: Organization
Organization Name: Azul Mindspace LLC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Oct 18, 2023
Last Updated: Oct 19, 2023

Practice Location

Address: 10631 HABITAT TRL
City: Bokeelia
State: Florida
ZIP Code: 33922-3122
Phone: (786) 505-4022

Authorized Official

Name: DR. MICHELLE RENEE WHITE, MA
Title: PSYCHOLOGIST / OWNER
Phone: (786) 505-4022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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