Active NPI
Holistic Minds Collective
- Clinical Social Worker
- Doral, FL
National Provider Identifier
1124881677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- HOLISTIC MINDS COLLECTIVE
- Practice address
- 2555 NW 102ND Ave Ste 205
Doral, FL 33172-2131 - Phone
- (786) 635-9058
- Fax
- (305) 489-8065
- NPI assigned
- Feb 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Liliana L Uribe, LCSW
- Title
- Co Owner
- Phone
- (305) 397-4031
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2555 NW 102ND Ave Ste 205
Doral, FL 33172-2131
Mailing address
15372 SW 9TH Way
Miami, FL 33194-2781
Phone (305) 397-4031
Other names 1
- Holistic Minds Collective
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707177600000",
"number": "1124881677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15372 SW 9TH WAY",
"city": "MIAMI",
"state": "FL",
"postal_code": "331942781",
"telephone_number": "305-397-4031",
"fax_number": "305-489-8065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 NW 102ND AVE STE 205",
"city": "DORAL",
"state": "FL",
"postal_code": "331722131",
"telephone_number": "786-635-9058",
"fax_number": "305-489-8065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISTIC MINDS COLLECTIVE",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-06",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A",
"authorized_official_last_name": "URIBE",
"authorized_official_first_name": "LILIANA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CO OWNER",
"authorized_official_telephone_number": "305-397-4031",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Holistic Minds Collective",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.