Mindful Connections, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

SW8346 Issued in FL

Legal business name

MINDFUL CONNECTIONS, LLC

Practice address

3042 N Federal Hwy
Suite 207
Fort Lauderdale, FL 33306-1400

Phone

(954) 770-2363

NPI assigned

Jun 6, 2014

Last updated

Jun 6, 2014By 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

Benjamin D Galloso, LCSW, CAP, ACHTNPI 1568718682

Title

Owner / President

Phone

(954) 770-2363

Specialties & licenses 1

Addresses

Other identifiers 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.

• Benjamin D. Galloso, LCSW, CAP, AHCT

  • Clinical Social Worker
  • Fort Lauderdale, FL
  • NPI 1568718682
  NPD Authorized official

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1639582661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 NW 30TH CT",
            "address_2": "UNIT # 7",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333112400",
            "telephone_number": "954-770-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3042 N FEDERAL HWY",
            "address_2": "SUITE 207",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061400",
            "telephone_number": "954-770-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL CONNECTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "GALLOSO",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "954-770-2363",
        "authorized_official_credential": "LCSW, CAP, ACHT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "SW8346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010912100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Infiniti Mincey
• Mind, Body and Spirit Chiropractic, Inc.
• Mindbright Health & Wellness Center LLC
• Mindcare Clinic, LLC
• Mindcare Health & Wellness Center
• Mindful Conversations Therapy and Consulting LLC
• Mindful Journey Center, LLC
• Mindfully Me Therapy
• Aaron J Miner, DO
• Tracey Lynn Minkin, OT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.