Provider Demographics
NPI:1770131328
Name:LE MINDAID COUNSELING
Entity type:Organization
Organization Name:LE MINDAID COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PRACHT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:352-978-2988
Mailing Address - Street 1:155 S COURT AVE UNIT 1408
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-3210
Mailing Address - Country:US
Mailing Address - Phone:352-978-2988
Mailing Address - Fax:
Practice Address - Street 1:14839 HERONGLEN DR
Practice Address - Street 2:
Practice Address - City:LITHIA
Practice Address - State:FL
Practice Address - Zip Code:33547-3870
Practice Address - Country:US
Practice Address - Phone:352-978-2988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-27
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL013792800Medicaid