person
Mrs. Takeisha Mitchell-ingram
Developmental Disabilities Clinic/Center in Fort Pierce, Florida
NPI 1801312830

Takeisha Mitchell-ingram is a Developmental Disabilities Clinic/Center based in Port St Lucie, FL and is specialized in Developmental Disabilities. Takeisha Mitchell-ingram practices in Fort Pierce, FL. The NPI Number for Takeisha Mitchell-ingram is 1801312830 and holds a License No. (Florida).

The current practice location address for Takeisha Mitchell-ingram is 130 S Indian River Dr Ste 202, Fort Pierce, FL and can be reached out via phone at 772-905-9030.

Location: 130 S Indian River Dr Ste 202, Fort Pierce, FL, 34953-4590
person
Provider Profile Details
NPI Number
1801312830
Provider Name
Takeisha Mitchell-ingram
Credential
Provider Entity Type
Individual
Gender
Female
Address
130 S Indian River Dr Ste 202, Fort Pierce, FL, 34953-4590
Phone Number
772-905-9030
Fax Number
Provider Enumeration Date
08/22/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
130 S Indian River Dr Ste 202
City
State
Zip
34950-4353
Phone Number
772-905-9030
Fax Number
person
Provider Business Mailing Address Details
Address
130 S Indian River Dr Ste 202
City
State
Zip
34950-4353
Phone Number
772-905-9030
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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