Provider Demographics
NPI:1598498198
Name:TRUELSON, MINDI
Entity Type:Individual
Prefix:
First Name:MINDI
Middle Name:
Last Name:TRUELSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38016 BLACKBIRD LN
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33540-3938
Mailing Address - Country:US
Mailing Address - Phone:585-729-0584
Mailing Address - Fax:
Practice Address - Street 1:2963 GULF TO BAY BLVD
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33759-4259
Practice Address - Country:US
Practice Address - Phone:727-241-8938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-01
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical