Provider Demographics
NPI:1518502004
Name:ESSENTIAL MINDS PA
Entity Type:Organization
Organization Name:ESSENTIAL MINDS PA
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:A
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 APT 1
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-3298
Mailing Address - Country:US
Mailing Address - Phone:305-450-5978
Mailing Address - Fax:
Practice Address - Street 1:17071 W DIXIE HWY STE 103
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33160-3773
Practice Address - Country:US
Practice Address - Phone:305-450-5978
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-08
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty