Provider Demographics
NPI:1609554757
Name:MINDFUL CONNECTIONS-ABA & MH SERVICES INC
Entity Type:Organization
Organization Name:MINDFUL CONNECTIONS-ABA & MH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:
Authorized Official - First Name:LIZANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-890-0426
Mailing Address - Street 1:825 BRICKELL BAY DR STE 246
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2968
Mailing Address - Country:US
Mailing Address - Phone:305-890-0426
Mailing Address - Fax:
Practice Address - Street 1:825 BRICKELL BAY DR STE 246
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-2968
Practice Address - Country:US
Practice Address - Phone:305-890-0421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty