| Dynasty Mental Health, Inc | |
|
12985 Sw 130th Ct Unit 202 Miami FL 33186-5346 | |
| (786) 732-4331 | |
| (786) 732-4338 |
| Full Name | Dynasty Mental Health, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12985 Sw 130th Ct Unit 202, Miami, Florida |
| Authorized Official Name and Position | Milton Cancel (OWNER) |
| Authorized Official Contact | 7867324331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynasty Mental Health, Inc 12985 Sw 130th Ct Unit 202 Miami FL 33186-5346 Ph: (786) 732-4331 | Dynasty Mental Health, Inc 12985 Sw 130th Ct Unit 202 Miami FL 33186-5346 Ph: (786) 732-4331 |
| NPI Number | 1639631047 |
|---|---|
| Provider Enumeration Date | 04/03/2019 |
| Last Update Date | 05/12/2023 |
| Certification Date | 05/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639631047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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