MEDICARE: MINDVIEW THERAPY 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1427935998
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINDVIEW THERAPY LLC

Provider Business Mailing Address
First Line	:	9801 COLLINS AVE APT 9Y
Second Line	:
City	:	BAL HARBOUR
State	:	FL
Zip	:	33154-1829
Country	:	US
Telephone Number	:	646-493-4007
Fax Number	:

Provider Business Practice Location Address
First Line	:	9801 COLLINS AVE APT 9Y
Second Line	:
City	:	BAL HARBOUR
State	:	FL
Zip	:	33154-1829
Country	:	US
Telephone Number	:	917-482-2695
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATIVE DIRECTOR
Name	:	ETHAN ZAK
Credential	:
Telephone Number	:	917-482-2695

Provider Enumeration Date	:	08/18/2025
Last Update Date	:	08/18/2025

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