Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kintsugi Therapy Services

Organization Clinical Social Worker · NPI 1083198741

Kintsugi Therapy Services is a Clinical Social Worker in Cocoa, Florida. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1205 Oxford Way
Cocoa, FL 32922-6445
Phone: (612) 279-8677
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 618 29th Ave N, Minneapolis, MN 55411-1406 — (612) 279-8677

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1083198741
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Migdalia Dominguez — Founder · (612) 310-0424
NPI enumeratedSeptember 19, 2018
Last updated in NPPESSeptember 1, 2023
Certification dateSeptember 1, 2023
Mailing address1205 Oxford Way, Cocoa, FL 32922-6445

Other providers in Cocoa