Provider Demographics
NPI:1326841651
Name:MINDSET PSYCHOLOGICAL & CONSULTANT GROUP LLC
Entity type:Organization
Organization Name:MINDSET PSYCHOLOGICAL & CONSULTANT GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PADUA QUILES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:939-835-7257
Mailing Address - Street 1:VISTAS DEL MAR
Mailing Address - Street 2:3310 CALLE DORADO
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-0827
Mailing Address - Country:US
Mailing Address - Phone:939-835-7257
Mailing Address - Fax:
Practice Address - Street 1:GALERIA PROFESIONAL
Practice Address - Street 2:8118 CALLE CONCORDIA SUITE 102
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1589
Practice Address - Country:US
Practice Address - Phone:939-835-7257
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty