MIAMI LAKES DOCTOR'S LLC NPI 1619588324

NPI Details

MIAMI LAKES DOCTOR'S LLC is a community behavioral health in Miami Lakes, FL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MIAMI LAKES DOCTOR'S LLC NPI is 1619588324. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Miami Lakes Doctor's Llc.

The provider's business location address is:

5779 NW 151ST ST
MIAMI LAKES, FL
ZIP 33014-483
Phone: (786) 353-2058
Fax: (786) 353-2087

The provider's authorized official is Yanet Tejeda Garcia .
The authorized official title is President and has the following contact phone number (786) 797-7140.

The CLIA number assigned to this NPI record is 10D2232353 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/14/2020 and was last updated on 7/20/2021.

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: