Heritage Behavioral Health & Wellness LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HERITAGE BEHAVIORAL HEALTH & WELLNESS LLC

Practice address

2620 North Australian Avenue
Ste 109
West Palm Beach, FL 33407-5101

Phone

(561) 316-7430

NPI assigned

Mar 2, 2021

Organization subpart

No

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

Authorized official

Name

Nityia L LathanNPI 1508209594

Title

LMHC

Phone

(561) 316-7430

Specialties & licenses 1

Addresses

Other names 1

• Heritage Behavioral Health & Wellness LLC Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nityia Lathan, MS

  • Mental Health Counselor
  • West Palm Beach, FL
  • NPI 1508209594
  NPD Authorized official

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1740875764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 HAVERHILL RD N UNIT 223141",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334225101",
            "telephone_number": "561-316-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 NORTH AUSTRALIAN AVENUE",
            "address_2": "STE 109",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334075101",
            "telephone_number": "561-316-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE BEHAVIORAL HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "LATHAN",
        "authorized_official_first_name": "NITYIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LMHC",
        "authorized_official_telephone_number": "561-316-7430"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Behavioral Health & Wellness LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alexander Bennett Herbert, MD
• Lashannon Shanequitt Herbert
• Taylor Herbst
• Annette M Heredia de Raposo
• Wetzlar Herisse
• Matthew Herman
• Amanda Hernandez Aguila
• Miguel A Hernandez Aguila
• Yaimara Hernandez Cabrera
• Thalia Hernandez Carreno

• Mental Health Counselor in West Palm Beach, FL
• Providers in West Palm Beach, 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 Mar 2, 2021; 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.