Healthcare Provider Details

I. General information

NPI: 1174491831
Provider Name (Legal Business Name): HEALTHY MIND CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2025
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4750 NW 6TH ST
MIAMI FL
33126-2204
US

IV. Provider business mailing address

4750 NW 6TH ST
MIAMI FL
33126-2204
US

V. Phone/Fax

Practice location:
  • Phone: 786-556-2541
  • Fax:
Mailing address:
  • Phone: 786-556-2541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RAYSA MARIA MACHADO FLEITES
Title or Position: PRESIDENT
Credential: LMHC
Phone: 786-556-2541