| Mindset Mental Health Services Inc | |
|
12485 Sw 137th Ave Ste 109 Miami FL 33186-4215 | |
| (786) 592-2748 | |
| (786) 592-1482 |
| Full Name | Mindset Mental Health Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12485 Sw 137th Ave Ste 109, Miami, Florida |
| Authorized Official Name and Position | Liettys Guerra (PRESIDENT & CEO) |
| Authorized Official Contact | 7865922748 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindset Mental Health Services Inc 12485 Sw 137th Ave Ste 109 Miami FL 33186-4215 Ph: (786) 592-2748 | Mindset Mental Health Services Inc 12485 Sw 137th Ave Ste 109 Miami FL 33186-4215 Ph: (786) 592-2748 |
| NPI Number | 1831799766 |
|---|---|
| Provider Enumeration Date | 10/29/2020 |
| Last Update Date | 02/23/2024 |
| Certification Date | 02/23/2024 |
| Medicare PECOS PAC ID | 9436567609 |
|---|---|
| Medicare Enrollment ID | O20210428001555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831799766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jose Miguel Morales Gonzalez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972132512 PECOS PAC ID: 6204361561 Enrollment ID: I20241122002074 |
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