Healthcare Provider Details

I. General information

NPI: 1700683505
Provider Name (Legal Business Name): BLESSING HEARTS LEARNING & BEHAVIORAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2025
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2574 N UNIVERSITY DR STE 217
SUNRISE FL
33322-3045
US

IV. Provider business mailing address

2574 N UNIVERSITY DR STE 217
SUNRISE FL
33322-3045
US

V. Phone/Fax

Practice location:
  • Phone: 786-970-2873
  • Fax:
Mailing address:
  • Phone: 786-970-2873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JASNIELA VANESSSA MENDOZA
Title or Position: MGR
Credential:
Phone: 786-970-2873