MEDICARE: CREATIVE MINDS THERAPY SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1124978473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CREATIVE MINDS THERAPY SERVICES LLC

Provider Business Mailing Address
First Line	:	3852 SW 133RD PL
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-3247
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3852 SW 133RD PL
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-3247
Country	:	US
Telephone Number	:	786-453-4973
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LORENA R RUIZ SAAVEDRA
Credential	:
Telephone Number	:	786-453-4973

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	02/03/2026

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