Provider Demographics
NPI:1841989399
Name:DRIVEN MENTALITY LLC
Entity type:Organization
Organization Name:DRIVEN MENTALITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:CAROLINA
Authorized Official - Last Name:ABRIL-MEDINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-301-1845
Mailing Address - Street 1:6925 LAKE ELLENOR DR STE 120
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-4648
Mailing Address - Country:US
Mailing Address - Phone:407-301-1845
Mailing Address - Fax:
Practice Address - Street 1:6925 LAKE ELLENOR DR STE 120
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-4648
Practice Address - Country:US
Practice Address - Phone:407-301-1845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty