Organization
LEAP FORWARD MENTAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN I MEDINA LCSW (OWNER)
(786) 306-8778
Entity
Organization
Contact information
Practice address
8331 SW 100TH ST, MIAMI, FL 33156-2417
(786) 306-8778
Mailing address
7742 N KENDALL DR STE 275, MIAMI, FL 33156-7523
(786) 306-8778
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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