Healthcare Provider Details

I. General information

NPI: 1053241810
Provider Name (Legal Business Name): SAINT HILDEGARD OF BINGEN CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S FEDERAL HWY UNIT 1032
HALLANDALE BEACH FL
33008-6044
US

IV. Provider business mailing address

500 S FEDERAL HWY UNIT 1032
HALLANDALE BEACH FL
33008-6044
US

V. Phone/Fax

Practice location:
  • Phone: 561-444-8907
  • Fax:
Mailing address:
  • Phone: 561-444-8907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. CARLOS A. INSIGNARES
Title or Position: OWNER
Credential: PSYCHOTHERAPIST
Phone: 561-444-8907