Provider Demographics
NPI:1992977839
Name:DURAN DURAN INC.
Entity type:Organization
Organization Name:DURAN DURAN INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MA, LMHC
Authorized Official - Prefix:MRS
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:E
Authorized Official - Last Name:DURAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-849-5588
Mailing Address - Street 1:5315 TROUBLE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-4949
Mailing Address - Country:US
Mailing Address - Phone:727-849-5588
Mailing Address - Fax:
Practice Address - Street 1:5315 TROUBLE CREEK RD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4949
Practice Address - Country:US
Practice Address - Phone:727-849-5588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL000490101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000490LMHCOtherLICENSED MENTAL HEATLH CO