Mental Wellness Clinic, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

MENTAL WELLNESS CLINIC, LLC

Practice address

3580 Mystic Pointe Dr
Aventura, FL 33180-2554

Phone

(786) 708-7166

NPI assigned

Sep 13, 2018

Last updated

Sep 13, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole Berry, LMHCNPI 1295152957

Title

Ceo

Phone

(305) 338-4027

Specialties & licenses 3

Addresses

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.

• Nicole Berry

  • Mental Health Counselor
  • Miami Beach, FL
  • NPI 1295152957
  NPD Authorized official

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1336622489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S 57TH TER",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330231426",
            "telephone_number": "305-338-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 MYSTIC POINTE DR",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802554",
            "telephone_number": "786-708-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL WELLNESS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-338-4027",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mendel Toron Psychotherapy Services, PLLC
• Dovid Mendelow
• Martin G. Mendelssohn, M.D.
• Kimberly Samara Mendoza, PT, DPT
• Briana Meneses-Sullivan
• Victorien Meray, MD
• Ronit Merenfeld, LMHC
• Andreina Merino Alaimo
• Angelica M. Merlano, PA-C
• Michael L. Messing, MD

• Counselor in Aventura, FL
• Providers in Aventura, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.