| Mind Over Matter Transformation Center Llc | |
|
7901 4th St N Suite 300 St. Petersburg FL 33702 | |
| (850) 669-0022 | |
| Not Available |
| Full Name | Mind Over Matter Transformation Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7901 4th St N Suite 300, St. Petersburg, Florida |
| Authorized Official Name and Position | Connika Green (PSYCHOTHERAPIST) |
| Authorized Official Contact | 8506690022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Over Matter Transformation Center Llc 2821 S Ferdon Blvd # 1087 Crestview FL 32536-8474 Ph: () - | Mind Over Matter Transformation Center Llc 7901 4th St N Suite 300 St. Petersburg FL 33702 Ph: (850) 669-0022 |
| NPI Number | 1346112653 |
|---|---|
| Provider Enumeration Date | 09/18/2025 |
| Last Update Date | 09/18/2025 |
| Certification Date | 09/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346112653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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