Twisted Minds Counseling Center LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

TWISTED MINDS COUNSELING CENTER LLC

Practice address

1551 Garden St
Titusville, FL 32796-3269

Phone

(404) 825-0722

NPI assigned

Dec 27, 2023

Last updated

Dec 27, 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

Lauren Bullard, LMHCNPI 1811301641

Title

Owner

Phone

(404) 825-0722

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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.

• Lauren Bullard, MA, LMHC

  • Mental Health Counselor
  • Titusville, FL
  • NPI 1811301641
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1487423885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963269",
            "telephone_number": "404-825-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963269",
            "telephone_number": "404-825-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWISTED MINDS COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "BULLARD",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-825-0722",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alyssa Chinyere Umeh
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• Kathleen Rae Uvaro, L.M.T.
• Candice Maria Vaknin, MSN, APRN, FNP-C

• Mental Health Counselor in Titusville, FL
• Providers in Titusville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.