Healthcare Provider Details

I. General information

NPI: 1821807181
Provider Name (Legal Business Name): JOYFUL MIND THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2025
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2650 W 70TH ST
HIALEAH FL
33016-5488
US

IV. Provider business mailing address

2650 W 70TH ST
HIALEAH FL
33016-5488
US

V. Phone/Fax

Practice location:
  • Phone: 305-523-9127
  • Fax:
Mailing address:
  • Phone: 305-523-9127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: YXIS CARMEN GONZALEZ
Title or Position: OWNER
Credential: LMHC, BCBA
Phone: 305-523-9127