Healthcare Provider Details

I. General information

NPI: 1528974128
Provider Name (Legal Business Name): PRELUDE MENTAL HEALTH & WELLNESS LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 S CYPRESS RD STE 301E
POMPANO BEACH FL
33060-7166
US

IV. Provider business mailing address

351 S CYPRESS RD STE 301E
POMPANO BEACH FL
33060-7166
US

V. Phone/Fax

Practice location:
  • Phone: 954-593-4965
  • Fax: 850-807-5303
Mailing address:
  • Phone: 954-593-4965
  • Fax: 850-807-5303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BIANCA BACHOO
Title or Position: OWNER
Credential: APRN
Phone: 305-915-8837