Provider Demographics
NPI:1407412075
Name:HEALTHY MIND, CORP
Entity Type:Organization
Organization Name:HEALTHY MIND, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YURELIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GINARTE ARIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-397-9544
Mailing Address - Street 1:6418 HANLEY RD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-7956
Mailing Address - Country:US
Mailing Address - Phone:786-397-9544
Mailing Address - Fax:
Practice Address - Street 1:1200 W PLATT ST STE 202
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-2136
Practice Address - Country:US
Practice Address - Phone:786-397-9544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-19
Last Update Date:2019-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health