MEDICARE: VIAMIND THERAPY GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1538019195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIAMIND THERAPY GROUP LLC

Provider Business Mailing Address
First Line	:	4921 NW 179TH TER
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-3247
Country	:	US
Telephone Number	:	786-659-3632
Fax Number	:	786-788-8115

Provider Business Practice Location Address
First Line	:	4921 NW 179TH TER
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-3247
Country	:	US
Telephone Number	:	786-659-3632
Fax Number	:	786-788-8115

Authorized Official
Title or Position	:	OWNER
Name	:	LAZARO SANTANA
Credential	:
Telephone Number	:	786-659-3632

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	06/10/2026

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Directions to “VIAMIND THERAPY GROUP LLC ” Practice Location

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