Light to Minds LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LIGHT TO MINDS LLC

Practice address

946 Bignonia Rd
West Palm Beach, FL 33405-2404

Phone

(561) 690-7614

NPI assigned

Jul 8, 2024

Last updated

Jul 8, 2024By 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

Yaliagny Dominguez TamayoNPI 1942944954

Title

Owner

Phone

(561) 690-7614

Specialties & licenses 1

Addresses

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.

• Yaliagny Dominguez Tamayo

  • Assistant Behavior Analyst
  • Lake Worth, FL
  • NPI 1942944954
  NPD Authorized official

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1801632021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 BIGNONIA RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334052404",
            "telephone_number": "561-690-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 BIGNONIA RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334052404",
            "telephone_number": "561-690-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT TO MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-07",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ TAMAYO",
        "authorized_official_first_name": "YALIAGNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-690-7614"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.