Provider Demographics
NPI:1285341248
Name:MIND & HEART PSYCHOLOGY LLC
Entity type:Organization
Organization Name:MIND & HEART PSYCHOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARIBEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SANABRIA VELEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:939-363-2104
Mailing Address - Street 1:PO BOX 10082
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00922-0082
Mailing Address - Country:US
Mailing Address - Phone:939-363-2104
Mailing Address - Fax:
Practice Address - Street 1:1995 CARR 2 STE 805A
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-5065
Practice Address - Country:US
Practice Address - Phone:939-363-2104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-31
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty