Provider Demographics
NPI:1285418558
Name:CONNECTING MINDS COUNSELING, LLC
Entity type:Organization
Organization Name:CONNECTING MINDS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRALEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:727-266-2157
Mailing Address - Street 1:1000 COVE CAY DR UNIT 5D
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33760-1221
Mailing Address - Country:US
Mailing Address - Phone:727-266-2157
Mailing Address - Fax:
Practice Address - Street 1:1000 COVE CAY DR UNIT 5D
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33760-1221
Practice Address - Country:US
Practice Address - Phone:727-266-2157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty