Organization Active NPI

Mindful Migrations, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brandon, FL
National Provider Identifier
1760376529
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MINDFUL MIGRATIONS, LLC
Practice address
1111 Oakfield Dr
Brandon, FL 33511-4930
Phone
(813) 467-9693
NPI assigned
Jun 5, 2025
Last updated
Jun 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Gertie Mallard-Teal, LMHCNPI 1851132278
Title
Owner
Phone
(813) 467-9693

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1111 Oakfield Dr
Brandon, FL 33511-4930

Mailing address

6421 N Florida Ave
D-343
Tampa, FL 33604

National Provider Directory

National Provider Directory

Locations

1111 Oakfield Dr
Brandon, FL 33511
Phone (813) 467-9693

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1760376529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 N FLORIDA AVE",
            "address_2": "D-343",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114930",
            "telephone_number": "813-467-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MIGRATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "MALLARD-TEAL",
        "authorized_official_first_name": "GERTIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-467-9693",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.