ENERGY COMMUNITY MENTAL HEALTH CLINIC LLC NPI 1851051262

NPI Information

NPI: 1851051262
Provider Name: ENERGY COMMUNITY MENTAL HEALTH CLINIC LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4995 NW 72ND AVE
MIAMI, FL
ZIP 33166
Phone: (786) 360-3584
Get Directions

ENERGY COMMUNITY MENTAL HEALTH CLINIC LLC is a mental health counselor in Miami, FL. ENERGY COMMUNITY MENTAL HEALTH CLINIC LLC NPI is 1851051262. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4995 NW 72ND AVE
MIAMI, FL
ZIP 33166-643
Phone: (786) 360-3584
Fax: (786) 360-3867

The provider's authorized official is Ernesto Rodriguez Tanquero .
The authorized official title is Authorized Official and has the following contact phone number (786) 520-0140.

The enumeration date for this NPI number is 12/27/2021 and was last updated on 12/27/2021.

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			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	112486800	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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