Provider Demographics
NPI:1275427601
Name:MINDS IN BALANCE
Entity type:Organization
Organization Name:MINDS IN BALANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIA LUISA
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ IBARRA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:786-444-5578
Mailing Address - Street 1:14850 SW 26TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-5927
Mailing Address - Country:US
Mailing Address - Phone:786-444-5578
Mailing Address - Fax:305-397-2695
Practice Address - Street 1:14850 SW 26TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33185-5927
Practice Address - Country:US
Practice Address - Phone:786-444-5578
Practice Address - Fax:305-397-2695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health