FENIX WELLNESS COMMUNITY FOUNDATION LLC NPI 1003626805

NPI Information

  • NPI: 1003626805
  • Provider Name: FENIX WELLNESS COMMUNITY FOUNDATION, LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 15190 SW 136TH ST STE 26
    MIAMI, FL
    ZIP 33196
  • Phone: (786) 404-1008

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NPI Details

FENIX WELLNESS COMMUNITY FOUNDATION, LLC is a mental health (including community mental health center) clinic center in Miami, FL. FENIX WELLNESS COMMUNITY FOUNDATION, LLC NPI is 1003626805. The provider is registered as an organization entity type.

The provider's business location address is:

15190 SW 136TH ST STE 26
MIAMI, FL
ZIP 33196-618
Phone: (786) 404-1008

The provider's authorized official is Adanys Alonso-alfonso .
The authorized official title is Vp and has the following contact phone number (305) 469-1722.

The enumeration date for this NPI number is 1/13/2025 and was last updated on 1/13/2025.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 11/21/2025

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