Organization Active NPI

Love Your Beautiful Mind LLC

  • Developmentally Disabled Services Day Training Agency
  • St Petersburg, FL
National Provider Identifier
1093621310
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
LOVE YOUR BEAUTIFUL MIND LLC
Practice address
2155 67TH Ave S
St Petersburg, FL 33712-5812
Phone
(727) 900-8991
NPI assigned
Aug 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ebony Green
Title
Administrator
Phone
(727) 900-8991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

2155 67TH Ave S
St Petersburg, FL 33712-5812

Mailing address

2155 67TH Ave S
St Petersburg, FL 33712-5812
Phone (727) 900-8991

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1093621310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 67TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337125812",
            "telephone_number": "727-900-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 67TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337125812",
            "telephone_number": "727-900-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE YOUR BEAUTIFUL MIND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-900-8991"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.