Mind Blossom Recovery

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MIND BLOSSOM RECOVERY

Practice address

2110 N Donnelly St Ste 103
Mount Dora, FL 32757-6969

Phone

(407) 492-4945

NPI assigned

Oct 11, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kortnie Lynch, PMHNP-BCNPI 1902675598

Title

Owner

Phone

(407) 583-4499

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kortnie Lynn Lynch, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mount Dora, FL
  • NPI 1902675598
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1144040478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 CLAMONT LN",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327262045",
            "telephone_number": "407-492-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 N DONNELLY ST STE 103",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576969",
            "telephone_number": "407-492-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BLOSSOM RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "KORTNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-583-4499",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid-Florida Endodontics - Mt. Dora, PLLC
• Aleah-Juan Miettinen
• Margaret Miller
• Rabekah Lynn Miller
• Vashti G Miller, DNS, ANP-BC
• Caroline Vollberg Misch, OD
• Cortney Lynn Mitchell-England, CF-SLP
• Chelsea Mitchell
• Carly Mittleman, RBT
• MJ Dental Services, PA

• Adult Mental Health Clinic/Center in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.