Healthcare Provider Details

I. General information

NPI: 1518803204
Provider Name (Legal Business Name): RAISING CONSCIOUSNESS THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14951 ROYAL OAKS LN APT 1403
NORTH MIAMI FL
33181-2479
US

IV. Provider business mailing address

14951 ROYAL OAKS LN APT 1403
NORTH MIAMI FL
33181-2479
US

V. Phone/Fax

Practice location:
  • Phone: 305-469-9653
  • Fax:
Mailing address:
  • Phone: 305-469-9653
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DIAMONT DINA MANDOWSKY
Title or Position: OWNER & PRIMARY THERAPIST
Credential: LMHC
Phone: 305-469-9653