| Fenix Wellness Community Foundation, Llc | |
|
15190 Sw 136th St Ste 26 Miami FL 33196-2618 | |
| (786) 404-1008 | |
| Not Available |
| Full Name | Fenix Wellness Community Foundation, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 15190 Sw 136th St Ste 26, Miami, Florida |
| Authorized Official Name and Position | Adanys Alonso-alfonso (VP) |
| Authorized Official Contact | 3054691722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fenix Wellness Community Foundation, Llc 15190 Sw 136th St Ste 26 Miami FL 33196-2618 Ph: (786) 404-1008 | Fenix Wellness Community Foundation, Llc 15190 Sw 136th St Ste 26 Miami FL 33196-2618 Ph: (786) 404-1008 |
| NPI Number | 1003626805 |
|---|---|
| Provider Enumeration Date | 01/13/2025 |
| Last Update Date | 01/13/2025 |
| Certification Date | 01/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003626805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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