Provider Demographics
NPI:1134008519
Name:HALONA MIND & BODY LLC
Entity type:Organization
Organization Name:HALONA MIND & BODY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:727-916-7144
Mailing Address - Street 1:10222 SW 228TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33190-1990
Mailing Address - Country:US
Mailing Address - Phone:727-916-7144
Mailing Address - Fax:
Practice Address - Street 1:10222 SW 228TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33190-1990
Practice Address - Country:US
Practice Address - Phone:727-916-7144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health