Healthcare Provider Details

I. General information

NPI: 1255266623
Provider Name (Legal Business Name): AVENMIND HEALTH GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 09/29/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7100 W 20TH AVE SUITE 214
HIALEAH FL
33016
US

IV. Provider business mailing address

9314 FOREST HILL BLVD STE 896
WELLINGTON FL
33411-6577
US

V. Phone/Fax

Practice location:
  • Phone: 561-858-1661
  • Fax: 561-448-1149
Mailing address:
  • Phone: 561-858-1661
  • Fax: 561-448-1149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: STEPHANIE COUYOUTE
Title or Position: OWNER
Credential: DNP, PMHNP-BC, APRN
Phone: 786-788-5080