# MENTALLY PSYCHIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053064675
- **Authorized official:** DR. JOSE GABRIEL VALDES DNP, APRN, PMHNP-BC (CEO)
- **Authorized official phone:** (786) 208-0065

## Contact information

- **Practice address:** 10689 N KENDALL DR STE 211, MIAMI, FL 33176-1594
- **Practice address phone:** (305) 204-9499
- **Practice address fax:** (507) 607-8720
- **Mailing address:** 10689 N KENDALL DR STE 211, MIAMI, FL 33176-1594
- **Mailing address phone:** (305) 204-9499
- **Mailing address fax:** (507) 607-8720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/02/2022
- **Last updated:** 01/22/2025