Provider Demographics
NPI:1699722462
Name:HEALING MINDS INC
Entity type:Organization
Organization Name:HEALING MINDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-241-3585
Mailing Address - Street 1:7400 N FEDERAL HWY
Mailing Address - Street 2:SUITE A4
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-1693
Mailing Address - Country:US
Mailing Address - Phone:561-241-3585
Mailing Address - Fax:561-241-3682
Practice Address - Street 1:7400 N FEDERAL HWY
Practice Address - Street 2:SUITE A4
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-1693
Practice Address - Country:US
Practice Address - Phone:561-241-3585
Practice Address - Fax:561-241-3682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC5011261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLBV994AOtherMEDICARE PART B
FLBV994AOtherMEDICARE PART B