| Loving Minds Mental Health Llc | |
|
15600 Sw 288th St Ste 306 Homestead FL 33033-1223 | |
| (786) 650-2299 | |
| Not Available |
| Full Name | Loving Minds Mental Health Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 15600 Sw 288th St Ste 306, Homestead, Florida |
| Authorized Official Name and Position | Suanly M Ascunce Gomez (AMBR) |
| Authorized Official Contact | 7862368627 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Loving Minds Mental Health Llc 15600 Sw 288th St Ste 306 Homestead FL 33033-1223 Ph: (786) 650-2299 | Loving Minds Mental Health Llc 15600 Sw 288th St Ste 306 Homestead FL 33033-1223 Ph: (786) 650-2299 |
| NPI Number | 1386402444 |
|---|---|
| Provider Enumeration Date | 03/12/2024 |
| Last Update Date | 05/29/2025 |
| Certification Date | 05/29/2025 |
| Medicare PECOS PAC ID | 0143768663 |
|---|---|
| Medicare Enrollment ID | O20240815001497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386402444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| Provider Name | Monali L Gidwani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053348052 PECOS PAC ID: 2668519539 Enrollment ID: I20120709000728 |
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