Healthcare Provider Details

I. General information

NPI: 1720960651
Provider Name (Legal Business Name): MJH MIND GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2025
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 NE 2ND AVE
MIAMI FL
33137-2706
US

IV. Provider business mailing address

5200 NE 2ND AVE
MIAMI FL
33137-2706
US

V. Phone/Fax

Practice location:
  • Phone: 305-751-8628
  • Fax:
Mailing address:
  • Phone: 305-751-8628
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. LASHONDRA RHODES-RESCH
Title or Position: COMPLIANCE DIRECTOR
Credential: JD
Phone: 305-762-1407