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General NPI Number Information
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NPI Number | 1407776453
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Entity Type | Organization
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Legal Business Name | ELEVATE SOUND MINDS, LLC
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 3731 N COUNTRY CLUB DR APT 724
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City | AVENTURA
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State | FL
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Zip | 33180-1742
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Country | US
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Telephone | 305-479-8619
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Fax | 305-479-8619
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Provider Business Mailing Address
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Address Line | 3731 N COUNTRY CLUB DR APT 724
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City | AVENTURA
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State | FL
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Zip | 33180-1742
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Country | US
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Telephone | 305-479-8619
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Fax | 305-479-8619
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Authorized Official
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Title or Position | CO-OWNER
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Name | MURIEL MEDINA
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Credential | LCSW
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Telephone | 305-479-8619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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