Provider Demographics
NPI:1437947132
Name:PUZZLY MINDS THERAPY, LLC
Entity type:Organization
Organization Name:PUZZLY MINDS THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:
Authorized Official - Last Name:RYMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-837-0895
Mailing Address - Street 1:4050 DINNER LAKE WAY
Mailing Address - Street 2:
Mailing Address - City:LAKE WALES
Mailing Address - State:FL
Mailing Address - Zip Code:33859-2105
Mailing Address - Country:US
Mailing Address - Phone:863-837-0895
Mailing Address - Fax:
Practice Address - Street 1:1600 21ST ST
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-3461
Practice Address - Country:US
Practice Address - Phone:863-837-0895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency