Organization
INDIHEARTANDMIND INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AYINDE REID LCSW (PRESIDENT)
(754) 457-0700
Entity
Organization
Contact information
Practice address
7800 W OAKLAND PARK BLVD STE 304B, SUNRISE, FL 33351-6741
(754) 457-0700
Mailing address
7154 N UNIVERSITY DR # 411, TAMARAC, FL 33321-2916
(754) 457-0700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
SW12105
FL
251B00000X
Case Management Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018922500
—
FL
05
—
019228100
—
FL
05
—
024003000
—
FL
05
—
107309900
—
FL
Enumeration date
11/02/2013
Last updated
02/18/2025
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