Provider Demographics
NPI:1649223504
Name:HEALTHY MINDS CMHC INC
Entity Type:Organization
Organization Name:HEALTHY MINDS CMHC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:LOREDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-324-9340
Mailing Address - Street 1:101 NW 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33128-1008
Mailing Address - Country:US
Mailing Address - Phone:305-324-9340
Mailing Address - Fax:305-324-9342
Practice Address - Street 1:101 NW 12TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33128-1008
Practice Address - Country:US
Practice Address - Phone:305-324-9340
Practice Address - Fax:305-324-9342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC4204261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL101471Medicare Oscar/Certification