| M.i.s Mental Health Services Corp | |
|
5080 Nw 74th Ave Miami FL 33166-5554 | |
| (305) 562-4396 | |
| (305) 631-2180 |
| Full Name | M.i.s Mental Health Services Corp |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5080 Nw 74th Ave, Miami, Florida |
| Authorized Official Name and Position | Susana Lay Tejeda (PRESIDENT) |
| Authorized Official Contact | 3055624396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M.i.s Mental Health Services Corp 5080 Nw 74th Ave Miami FL 33166-5554 Ph: (305) 562-4396 | M.i.s Mental Health Services Corp 5080 Nw 74th Ave Miami FL 33166-5554 Ph: (305) 562-4396 |
| NPI Number | 1154099455 |
|---|---|
| Provider Enumeration Date | 09/01/2021 |
| Last Update Date | 10/27/2023 |
| Certification Date | 10/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154099455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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