FLORIDA MENTAL HEALTH SERVICES LLC NPI 1568884146

NPI Information

NPI: 1568884146
Provider Name: FLORIDA MENTAL HEALTH SERVICES LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 10D2261440

Address:
6401 SW 87TH AVE
MIAMI, FL
ZIP 33173
Phone: (305) 972-9530
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FLORIDA MENTAL HEALTH SERVICES LLC is a mental health counselor in Miami, FL. FLORIDA MENTAL HEALTH SERVICES LLC NPI is 1568884146. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6401 SW 87TH AVE
MIAMI, FL
ZIP 33173-500
Phone: (305) 972-9530

The provider's authorized official is Rosa Maria Cartaya .
The authorized official title is Owner and has the following contact phone number (305) 972-9530.

The CLIA number assigned to this NPI record is 10D2261440 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/15/2014 and was last updated on 1/15/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MH10094	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	002341200	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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