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General NPI Number Information
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NPI Number | 1386402444
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Entity Type | Organization
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Legal Business Name | LOVING MINDS MENTAL HEALTH LLC
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Dates
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Enumeration Date | 03/12/2024
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 15600 SW 288TH ST STE 306
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City | HOMESTEAD
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State | FL
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Zip | 33033-1223
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Country | US
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Telephone | 786-650-2299
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Fax |
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Provider Business Mailing Address
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Address Line | 15600 SW 288TH ST STE 306
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City | HOMESTEAD
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State | FL
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Zip | 33033-1223
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Country | US
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Telephone | 786-650-2299
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Fax |
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Authorized Official
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Title or Position | AMBR
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Name | SUANLY M ASCUNCE GOMEZ
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Credential |
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Telephone | 786-236-8627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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