Healthcare Provider Details

I. General information

NPI: 1578380309
Provider Name (Legal Business Name): MINDING THE GAP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2024
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9425 SUNSET DR STE F251
MIAMI FL
33173-3251
US

IV. Provider business mailing address

900 BAY DR APT 808
MIAMI BEACH FL
33141-5671
US

V. Phone/Fax

Practice location:
  • Phone: 786-310-6004
  • Fax:
Mailing address:
  • Phone: 786-310-6004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: VANIA MERCEDES SIMON
Title or Position: PRESIDENT
Credential: LMHC
Phone: 786-310-6004