CREATIVE MINDS & CONNECTIONS NPI 1740173624

NPI Information

  • NPI: 1740173624
  • Provider Name: CREATIVE MINDS & CONNECTIONS
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 10163 FORTUNE PKWY
    JACKSONVILLE, FL
    ZIP 32256
  • Phone: (904) 749-3869

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NPI Details

CREATIVE MINDS & CONNECTIONS is a professional counselor in Jacksonville, FL. CREATIVE MINDS & CONNECTIONS NPI is 1740173624. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10163 FORTUNE PKWY
JACKSONVILLE, FL
ZIP 32256-519
Phone: (904) 749-3869
Fax: (904) 944-3036

The provider's authorized official is Michelle Soares Pereira .
The authorized official title is Owner and has the following contact phone number (904) 749-3869.

The enumeration date for this NPI number is 5/30/2025 and was last updated on 5/30/2025.

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
1101Y00000XCounselorNo
2261QM0850XClinic/CenterAdult Mental HealthNo
3261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
4101YP2500XCounselorProfessionalYes

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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