Provider Demographics
NPI:1285191064
Name:OPEN MIND SERVICES INC
Entity Type:Organization
Organization Name:OPEN MIND SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMHC
Authorized Official - Prefix:
Authorized Official - First Name:VALERIA
Authorized Official - Middle Name:CLAUDIA
Authorized Official - Last Name:VILAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-385-9550
Mailing Address - Street 1:1563 WINTERBERRY LN
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33327-2336
Mailing Address - Country:US
Mailing Address - Phone:954-385-9550
Mailing Address - Fax:954-530-1532
Practice Address - Street 1:2731 EXECUTIVE PARK DR STE 4
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3619
Practice Address - Country:US
Practice Address - Phone:954-385-9550
Practice Address - Fax:954-530-1532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-27
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1518291046OtherINDIVIDUAL NPI