Molding Young Minds LLC
NPI #1962063073 in Lindenhurst, New York
Provider Information
- NPI Number
- 1962063073
- Entity Type
- Organization
- Organization Name
- Molding Young Minds LLC
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Jun 28, 2019
- Last Updated
- Jun 28, 2019
Practice Location
- Address
- 311 NEW YORK AVE
- City
- Lindenhurst
- State
- New York
- ZIP Code
- 11757-3306
- Phone
- (917) 592-2506
Authorized Official
- Name
- MS. JILLANN MICHELLE LEWIS, MS
- Title
- SOLE MEMBER/OWNER
- Phone
- (917) 592-2506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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