COMMUNITY BEHAVIORAL HEALTH LLC NPI 1649733544

NPI Information

NPI: 1649733544
Provider Name: COMMUNITY BEHAVIORAL HEALTH LLC
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
CLIA Number: 10D2273628
Address: 8323 NW 12TH ST STE 108
DORAL, FL
ZIP 33126
Phone: (305) 400-8511

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NPI Details

COMMUNITY BEHAVIORAL HEALTH LLC is a mental health (including community mental health center) clinic center in Doral, FL. COMMUNITY BEHAVIORAL HEALTH LLC NPI is 1649733544. The provider is registered as an organization entity type.

The provider's business location address is:

8323 NW 12TH ST STE 108
DORAL, FL
ZIP 33126-839
Phone: (305) 400-8511
Fax: (305) 392-0184

The provider's authorized official is Miguel A Diaz .
The authorized official title is Owner and has the following contact phone number (305) 400-8511.

The CLIA number assigned to this NPI record is 10D2273628 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/9/2019 and was last updated on 6/2/2025.

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	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	No
2	101YM0800X	Counselor	Mental Health	No
3	2084A0401X	Psychiatry & Neurology	Addiction Medicine	No
4	2084B0040X	Psychiatry & Neurology	Behavioral Neurology & Neuropsychiatry	No
5	2084P0800X	Psychiatry & Neurology	Psychiatry	No
6	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	No
7	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	No
8	2084P0805X	Psychiatry & Neurology	Geriatric Psychiatry	No
9	2084S0012X	Psychiatry & Neurology	Sleep Medicine	No
10	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	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	103311901	MEDICAID	FLORIDA
2	3FBY8	OTHER	FLORIDA	BLUE CROSS
3	103311900	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: 3/30/2025

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