MIND BLOSSOM RECOVERY NPI 1144040478

NPI Information

  • NPI: 1144040478
  • Provider Name: MIND BLOSSOM RECOVERY
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 2110 N DONNELLY ST STE 103
    MOUNT DORA, FL
    ZIP 32757
  • Phone: (407) 492-4945

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NPI Details

MIND BLOSSOM RECOVERY is an adult mental health clinic center in Mount Dora, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MIND BLOSSOM RECOVERY NPI is 1144040478. The provider is registered as an organization entity type.

The provider's business location address is:

2110 N DONNELLY ST STE 103
MOUNT DORA, FL
ZIP 32757-969
Phone: (407) 492-4945

The provider's authorized official is Kortnie Lynch .
The authorized official title is Owner and has the following contact phone number (407) 583-4499.

The enumeration date for this NPI number is 10/11/2024 and was last updated on 10/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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