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General NPI Number Information
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NPI Number | 1083043830
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Entity Type | Organization
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Legal Business Name | INDIHEARTANDMIND INC
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Dates
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Enumeration Date | 11/02/2013
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 7800 W OAKLAND PARK BLVD STE 304B
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City | SUNRISE
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State | FL
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Zip | 33351-6741
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Country | US
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Telephone | 754-457-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 7154 N UNIVERSITY DR # 411
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City | TAMARAC
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State | FL
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Zip | 33321-2916
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Country | US
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Telephone | 754-457-0700
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. AYINDE REID
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Credential | LCSW
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Telephone | 754-457-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW12105
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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