Provider Demographics
NPI:1699650465
Name:MEGAMIND THERAPY LLC
Entity type:Organization
Organization Name:MEGAMIND THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LETTY
Authorized Official - Middle Name:KARINA
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-903-8425
Mailing Address - Street 1:5155 CORTEZ CT
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-1306
Mailing Address - Country:US
Mailing Address - Phone:954-903-8425
Mailing Address - Fax:
Practice Address - Street 1:5155 CORTEZ CT
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-1306
Practice Address - Country:US
Practice Address - Phone:954-903-8425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-09
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty