Provider Demographics
NPI:1508214461
Name:ESSENCIALE MINDS, INC
Entity Type:Organization
Organization Name:ESSENCIALE MINDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NORA
Authorized Official - Middle Name:ALEXANDRA
Authorized Official - Last Name:CURIA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:305-450-5978
Mailing Address - Street 1:2032 NE 167TH ST
Mailing Address - Street 2:#01
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-3297
Mailing Address - Country:US
Mailing Address - Phone:305-450-5978
Mailing Address - Fax:772-777-2855
Practice Address - Street 1:9000 SHERIDAN ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-8802
Practice Address - Country:US
Practice Address - Phone:305-450-5978
Practice Address - Fax:772-777-2855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-01
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12289101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLLK167OtherFLORIDA BLUE CROSS-BLUE SHIELD