Healthcare Provider Details

I. General information

NPI: 1750183265
Provider Name (Legal Business Name): NEW MIND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2025
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

904 E 24TH ST
HIALEAH FL
33013-4233
US

IV. Provider business mailing address

904 E 24TH ST
HIALEAH FL
33013-4233
US

V. Phone/Fax

Practice location:
  • Phone: 786-991-8917
  • Fax:
Mailing address:
  • Phone:
  • 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: ARMIDIA M OSORIO
Title or Position: OWNER
Credential:
Phone: 786-991-8917