Provider Demographics
NPI:1033089602
Name:HEARTS & MINDS BEHAVIORAL THERAPY CENTER LLC
Entity type:Organization
Organization Name:HEARTS & MINDS BEHAVIORAL THERAPY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GRETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZULOAGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-487-7864
Mailing Address - Street 1:14740 SW 264TH ST APT 102
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:FL
Mailing Address - Zip Code:33032-7330
Mailing Address - Country:US
Mailing Address - Phone:786-487-7864
Mailing Address - Fax:
Practice Address - Street 1:14740 SW 264TH ST APT 102
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:FL
Practice Address - Zip Code:33032-7330
Practice Address - Country:US
Practice Address - Phone:786-487-7864
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-10
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health