| Healed Minds Inc | |
|
4101 S Hospital Dr Ste 18 Plantation FL 33317-2830 | |
| (954) 947-4404 | |
| Not Available |
| Full Name | Healed Minds Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4101 S Hospital Dr Ste 18, Plantation, Florida |
| Authorized Official Name and Position | Jakaria Jean-louis (CEO) |
| Authorized Official Contact | 8137287078 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healed Minds Inc 7420 Nw 13th St Plantation FL 33313-5924 Ph: (813) 728-7078 | Healed Minds Inc 4101 S Hospital Dr Ste 18 Plantation FL 33317-2830 Ph: (954) 947-4404 |
| NPI Number | 1417724048 |
|---|---|
| Provider Enumeration Date | 12/05/2023 |
| Last Update Date | 01/10/2024 |
| Certification Date | 01/10/2024 |
| Medicare PECOS PAC ID | 7911342670 |
|---|---|
| Medicare Enrollment ID | O20240304002892 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417724048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | Jakaria Jean-louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235819780 PECOS PAC ID: 8820433584 Enrollment ID: I20240304002976 |
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