Mindful Mental Health Network LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL MENTAL HEALTH NETWORK LLC

Practice address

19549 N Coquina Way
Weston, FL 33332-2418

Phone

(754) 778-7887

NPI assigned

Jun 13, 2023

Last updated

Jun 13, 2023By 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

Angelina Velichko

Title

Owner

Phone

(754) 778-7887

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1417631136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19549 N COQUINA WAY",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333322418",
            "telephone_number": "754-778-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19549 N COQUINA WAY",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333322418",
            "telephone_number": "754-778-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MENTAL HEALTH NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "VELICHKO",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-778-7887"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Bart Miller, MD
• Gary Miller, MPT
• Kristin Mary Miller, PT
• Christina Milligan, M.A., CCC-SLP
• Mindbodyguidance, LLC
• Steven Cassidy Minear
• Maria Renee Minero, PHARMD
• Abena Oforiwaa Minta, MD
• Devra Caryn Mintz, M.D., M.P.H.
• Jamshaid M Mir, MD

• Clinical Social Worker in Weston, FL
• Providers in Weston, FL by specialty
• Clinical Social Worker in Florida

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