M.I.S MENTAL HEALTH SERVICES CORP NPI 1154099455

NPI Information

NPI: 1154099455
Provider Name: M.I.S MENTAL HEALTH SERVICES CORP

Former Legal Business Name: M.I.S MENTAL HEALTH SERVICES CORP

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
5080 NW 74TH AVE
MIAMI, FL
ZIP 33166
Phone: (305) 562-4396
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M.I.S MENTAL HEALTH SERVICES CORP is a mental health (including community mental health center) clinic center in Miami, FL. M.I.S MENTAL HEALTH SERVICES CORP NPI is 1154099455. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is M.i.s Mental Health Services Corp.

The provider's business location address is:

5080 NW 74TH AVE
MIAMI, FL
ZIP 33166-554
Phone: (305) 562-4396
Fax: (305) 631-2180

The provider's authorized official is Susana Lay Tejeda .
The authorized official title is President and has the following contact phone number (305) 562-4396.

The enumeration date for this NPI number is 9/1/2021 and was last updated on 10/27/2023.

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	261QM0801X	Clinic/Center	Mental 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: 5/5/2024

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