Your Space Wellness and Consulting LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

MH15430 Issued in FL

Legal business name

YOUR SPACE WELLNESS AND CONSULTING LLC

Practice address

3580 Mystic Pointe Dr
Aventura, FL 33180-2554

Phone

(305) 308-2816

NPI assigned

Jan 28, 2018

Organization subpart

No

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

Authorized official

Name

Samantha Drazin, LMHC

Title

Owner

Phone

(305) 308-2816

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1517097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1912405614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 MYSTIC POINTE DR",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802554",
            "telephone_number": "305-308-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 MYSTIC POINTE DR",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802554",
            "telephone_number": "305-308-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR SPACE WELLNESS AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-28",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "DRAZIN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-308-2816",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "MH15430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krishnateja Yarra
• Nelly Leah Yefet, A.P.
• Ronald Yglesias, M.D.
• John Jiyong Yoon, D.O.
• Jadrien Young, MD
• Sharon Ziva Zadanoff II, D.C.
• Michael Zaki, MD
• Harvey Zalaznick, M.D.
• Laura Judith Zalcberg-Zubata, M.D.
• Andrea D Zambrano, M.D.

• Point of Service in Aventura, FL
• Providers in Aventura, FL by specialty
• Point of Service in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.