Organization
UNCHAINED BRAIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE CARBALLEA PSYD (OWNER)
(786) 554-9058
Entity
Organization
Contact information
Practice address
16000 PINES BLVD UNIT 820873, PEMBROKE PINES, FL 33082-9223
(305) 520-9122
Mailing address
16000 PINES BLVD UNIT 820873, PEMBROKE PINES, FL 33082-9223
(305) 520-9122
(561) 973-3506
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/30/2026
Last updated
06/03/2026
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