Provider Demographics
NPI:1073315511
Name:HOLISTIC MINDS
Entity type:Organization
Organization Name:HOLISTIC MINDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LILLIAM
Authorized Official - Middle Name:STEPHANNIE
Authorized Official - Last Name:PASTORA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:786-953-9798
Mailing Address - Street 1:3760 BIRD RD UNIT 730
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33146-1563
Mailing Address - Country:US
Mailing Address - Phone:786-953-9798
Mailing Address - Fax:
Practice Address - Street 1:3760 BIRD RD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33146-1548
Practice Address - Country:US
Practice Address - Phone:561-578-4474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health