Provider Demographics
NPI:1851044531
Name:YMD LIVING & WELLNESS
Entity Type:Organization
Organization Name:YMD LIVING & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YUBERILYS
Authorized Official - Middle Name:A
Authorized Official - Last Name:MIESES-DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:305-482-3516
Mailing Address - Street 1:16205 SW 72ND TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-4407
Mailing Address - Country:US
Mailing Address - Phone:305-482-3516
Mailing Address - Fax:786-548-3917
Practice Address - Street 1:300 SEVILLA AVE STE 307A
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-6624
Practice Address - Country:US
Practice Address - Phone:305-482-3516
Practice Address - Fax:786-548-3917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-01
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty