Organization Active NPI

Mind & Heart Connect LLC

  • Clinical Social Worker
  • Royal Palm Beach, FL
National Provider Identifier
1184403552
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MIND & HEART CONNECT LLC
Practice address
207 Seminole Lakes Dr
Royal Palm Beach, FL 33411-4208
Phone
(954) 451-2967
NPI assigned
Sep 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Maitey V EtienneNPI 1235832908
Title
Owner
Phone
(954) 451-2967

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

207 Seminole Lakes Dr
Royal Palm Beach, FL 33411-4208

Mailing address

7750 Okeechobee Blvd # 4-1200
West Palm Beach, FL 33411-2104
Phone (954) 451-2967

Other names 1

  • Mind & Heart Connect LLC Doing business as

National Provider Directory

National Provider Directory

Locations

7750 Okeechobee Blvd
#41200
West Palm Beach, FL 33411
Phone (954) 451-2967

7750 Okeechobee Blvd
Ste 41200
West Palm Beach, FL 33411
Phone (561) 451-2967

Practitioners & 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": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1184403552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 OKEECHOBEE BLVD # 4-1200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112104",
            "telephone_number": "954-451-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SEMINOLE LAKES DR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114208",
            "telephone_number": "954-451-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND & HEART CONNECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "ETIENNE",
        "authorized_official_first_name": "MAITEY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-451-2967"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind & Heart Connect LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.