Provider Demographics
NPI:1356037055
Name:HEALTHY MINDS AND MORE LLC
Entity type:Organization
Organization Name:HEALTHY MINDS AND MORE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHELSIE
Authorized Official - Middle Name:MORGAN
Authorized Official - Last Name:MACCARONE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:754-235-8440
Mailing Address - Street 1:9813 NW 1ST CT
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-7010
Mailing Address - Country:US
Mailing Address - Phone:754-235-8440
Mailing Address - Fax:
Practice Address - Street 1:9813 NW 1ST CT
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-7010
Practice Address - Country:US
Practice Address - Phone:754-235-8440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLL22000250522OtherFLORIDA DIVISION OF CORPORATIONS