Provider Demographics
NPI:1417849431
Name:BODY & MIND TELEHEALTH LLC
Entity type:Organization
Organization Name:BODY & MIND TELEHEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BELARMINO
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, PMHNP
Authorized Official - Phone:305-321-7718
Mailing Address - Street 1:11143 NW 78TH ST
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-6015
Mailing Address - Country:US
Mailing Address - Phone:305-321-7718
Mailing Address - Fax:
Practice Address - Street 1:11143 NW 78TH ST
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-6015
Practice Address - Country:US
Practice Address - Phone:305-321-7718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty