Organization
MINDFUL VIDA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA ESTEFANIA ACOSTA MS, LMHC (CEO)
(305) 763-1953
Entity
Organization
Contact information
Practice address
7850 BYRON AVE APT 904, MIAMI BEACH, FL 33141-2096
(305) 763-1953
Mailing address
7850 BYRON AVE APT 904, MIAMI BEACH, FL 33141-2096
(305) 763-1953
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
09/07/2024
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