Organization Active NPI

Mind, Body and Soul Counseling Services

  • Mental Health Counselor
  • Doral, FL
National Provider Identifier
1578909131
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC 9366 Issued in FL
Legal business name
MIND, BODY AND SOUL COUNSELING SERVICES
Practice address
8180 NW 36TH St
Suite 100-C
Doral, FL 33166-6645
Phone
(305) 753-2671
NPI assigned
May 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Authorized official

Name
Giselle Caridad Mallon, LMHCNPI 1376707877
Title
Manager
Phone
(305) 753-2671

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LMHC 9366 FL Primary

Addresses

Primary practice location

8180 NW 36TH St
Suite 100-C
Doral, FL 33166-6645

Mailing address

4727 NW 4TH St
Miami, FL 33126-2113
Phone (305) 753-2671

National Provider Directory

National Provider Directory

Locations

8180 NW 36th St
Ste 100C
Doral, FL 33166
Phone (305) 753-2671

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": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1578909131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 NW 4TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262113",
            "telephone_number": "305-753-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 NW 36TH ST",
            "address_2": "SUITE 100-C",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666645",
            "telephone_number": "305-753-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND, BODY AND SOUL COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "MALLON",
        "authorized_official_first_name": "GISELLE",
        "authorized_official_middle_name": "CARIDAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-753-2671",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "LMHC 9366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.