Provider Demographics
NPI:1720867690
Name:HEALING YOUR MIND FOR BETTER HEALTH LLC
Entity Type:Organization
Organization Name:HEALING YOUR MIND FOR BETTER HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:CESAR
Authorized Official - Last Name:QUINONES PARRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-366-5090
Mailing Address - Street 1:1111 12TH ST STE 109
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-4087
Mailing Address - Country:US
Mailing Address - Phone:786-366-5090
Mailing Address - Fax:
Practice Address - Street 1:1111 12TH ST STE 109
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4087
Practice Address - Country:US
Practice Address - Phone:786-366-5090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management