# MINDREFINED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396590659
- **Authorized official:** MICHELLE ANDREA VON DER HEYDE NP (PMHNP-BC)
- **Authorized official phone:** (305) 290-2175

## Contact information

- **Practice address:** 3191 CORAL WAY STE 607, MIAMI, FL 33145-3230
- **Practice address phone:** (305) 290-2176
- **Practice address fax:** (305) 290-2176
- **Mailing address:** 14649 SW 42ND ST STE 134, MIAMI, FL 33175-7825
- **Mailing address phone:** (305) 290-2175
- **Mailing address fax:** (305) 290-2176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0200X | Oncology Clinic/Center | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/20/2024
- **Last updated:** 10/18/2026