Dynamic Mindset LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DYNAMIC MINDSET LLC

Practice address

6100 Lake Ellenor Drive
Suite 151
Orlando, FL 32809-4632

Phone

(407) 552-5444

NPI assigned

Jan 25, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Neidy Carmilia Escorbores, LMHC

Title

Owner

Phone

(407) 552-5444

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1659835403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 LAKE ELLENOR DRIVE",
            "address_2": "SUITE 151",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094632",
            "telephone_number": "407-552-5444",
            "fax_number": "407-518-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 LAKE ELLENOR DRIVE",
            "address_2": "SUITE 151",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094632",
            "telephone_number": "407-552-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC MINDSET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "ESCORBORES",
        "authorized_official_first_name": "NEIDY",
        "authorized_official_middle_name": "CARMILIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-552-5444",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Jolene Dykes, CRNA
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• Michelle M Dymond, APRN
• Dyna-Tech Medical Supplies
• Dynamic Counseling Solutions LLC
• Dynamic Physical Therapy Services Inc
• Dynamic Supports and Services
• Dynamic Wound Care of Orlando PA
• Dynamic Youth Support Services, LLC
• Dynasty Senior Care Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Orlando, FL
• Providers in Orlando, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.