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
- Doing business as
- 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
- Last updated
- 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 DirectoryLocations
2555 NW 102nd Ave
Ste 205
Doral, FL 33172
Phone (786) 635-9058
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Doral, FL
- NPI 1619394111
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"
}
]
}
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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.