MEDICARE: MINDQUEST CMHC INC

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	251S00000X	Community/Behavioral Health Agency	HCC5395	FL

General Provider Information

NPI Number	:	1942377247
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINDQUEST CMHC INC

Provider Business Mailing Address
First Line	:	6151 MIRAMAR PKWY
Second Line	:	SUITE 200
City	:	MIRAMAR
State	:	FL
Zip	:	33023-3970
Country	:	US
Telephone Number	:	954-987-2432
Fax Number	:	954-987-2430

Provider Business Practice Location Address
First Line	:	6151 MIRAMAR PKWY
Second Line	:	SUITE 200
City	:	MIRAMAR
State	:	FL
Zip	:	33023-3970
Country	:	US
Telephone Number	:	954-987-2432
Fax Number	:	954-987-2430

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. HILDA MARIA NORIEGA
Credential	:	LMHC
Telephone Number	:	305-801-7231

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	08/22/2020

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Directions to “MINDQUEST CMHC INC ” Practice Location

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