Healthcare Provider Details

I. General information

NPI: 1598680712
Provider Name (Legal Business Name): UNLIMITED MINDS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7391 OAKBORO DR
LAKE WORTH FL
33467-7502
US

IV. Provider business mailing address

7391 OAKBORO DR
LAKE WORTH FL
33467-7502
US

V. Phone/Fax

Practice location:
  • Phone: 561-644-2107
  • Fax:
Mailing address:
  • Phone: 561-644-2107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: THALIA HERNANDEZ CARRENO
Title or Position: OWNER
Credential: BCBA
Phone: 561-644-2107