Active NPI
Balanced Therapy Minds, Inc
- Mental Health Counselor
- Miami Lakes, FL
National Provider Identifier
1811511686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- BALANCED THERAPY MINDS, INC
- Practice address
- 14411 Commerce Way Ste 350
Miami Lakes, FL 33016-1600 - Phone
- (786) 333-2975
- NPI assigned
- Jun 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenny Coello, LMHC, BCBA
- Title
- Clinical Director
- Phone
- (786) 333-2975
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Behavior Analyst | 103K00000X |
Addresses
Primary practice location
14411 Commerce Way Ste 350
Miami Lakes, FL 33016-1600
Mailing address
14411 Commerce Way Ste 350
Miami Lakes, FL 33016-1600
Phone (786) 333-2975
Other names 1
- Balanced Therapy Minds, Inc
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591574400000",
"number": "1811511686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14411 COMMERCE WAY STE 350",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330161600",
"telephone_number": "786-333-2975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14411 COMMERCE WAY STE 350",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330161600",
"telephone_number": "786-333-2975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALANCED THERAPY MINDS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-08",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A",
"authorized_official_last_name": "COELLO",
"authorized_official_first_name": "JENNY",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "786-333-2975",
"authorized_official_credential": "LMHC, BCBA"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Balanced Therapy Minds, Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.