BEACON COMMUNITY WELLNESS CORP NPI 1447134648

NPI Information

  • NPI: 1447134648
  • Provider Name: BEACON COMMUNITY WELLNESS CORP
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 14221 SW 120TH ST STE 223
    MIAMI, FL
    ZIP 33186
  • Phone: (786) 690-2296

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NPI Details

BEACON COMMUNITY WELLNESS CORP is a mental health (including community mental health center) clinic center in Miami, FL. BEACON COMMUNITY WELLNESS CORP NPI is 1447134648. The provider is registered as an organization entity type.

The provider's business location address is:

14221 SW 120TH ST STE 223
MIAMI, FL
ZIP 33186-225
Phone: (786) 690-2296

The provider's authorized official is Roberto Balmaseda .
The authorized official title is President and has the following contact phone number (305) 733-5714.

The enumeration date for this NPI number is 8/1/2025 and was last updated on 8/1/2025.

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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