| Lifestar Mental Wellness Center Inc, Cmhc | |
|
2050 W 56th St Ste 15-16 Hialeah FL 33016-2601 | |
| (305) 557-1555 | |
| (786) 442-2176 |
| Full Name | Lifestar Mental Wellness Center Inc, Cmhc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2050 W 56th St Ste 15-16, Hialeah, Florida |
| Authorized Official Name and Position | Jenny A Bernal (CEO/CFO) |
| Authorized Official Contact | 7863035079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestar Mental Wellness Center Inc, Cmhc 2050 W 56th St Suite 15-16 Hialeah FL 33016-2601 Ph: (786) 303-5079 | Lifestar Mental Wellness Center Inc, Cmhc 2050 W 56th St Ste 15-16 Hialeah FL 33016-2601 Ph: (305) 557-1555 |
| NPI Number | 1619313186 |
|---|---|
| Provider Enumeration Date | 05/10/2013 |
| Last Update Date | 07/19/2024 |
| Certification Date | 07/19/2024 |
| Medicare PECOS PAC ID | 0941620926 |
|---|---|
| Medicare Enrollment ID | O20201013000955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619313186 | NPI | - | NPPES |
| 008666100 | Medicaid | FL |
| Provider Name | Silvia I Silva-duluc |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548291834 PECOS PAC ID: 4486661998 Enrollment ID: I20060315000204 |
| Provider Name | Asuncion M. Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376736363 PECOS PAC ID: 2769662758 Enrollment ID: I20110208000883 |
| Provider Name | Alberto Rojas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104357839 PECOS PAC ID: 4385916980 Enrollment ID: I20200625001801 |
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