Healthcare Provider Details

I. General information

NPI: 1083351381
Provider Name (Legal Business Name): QUALITY OF MIND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2022
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3593 SW 92ND AVE
MIRAMAR FL
33025-7629
US

IV. Provider business mailing address

3593 SW 92ND AVE
MIRAMAR FL
33025-7629
US

V. Phone/Fax

Practice location:
  • Phone: 954-444-5438
  • Fax: 754-206-3395
Mailing address:
  • Phone: 954-444-5438
  • Fax: 754-210-5423

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. RILWAN ADIGUN
Title or Position: LICENSED CLINICAL SOCIAL WORKER/OWN
Credential: LCSW-QS
Phone: 954-444-5438