Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
ENERGY COMMUNITY MENTAL HEALTH CLINIC LLC
Active
Organization
ENERGY COMMUNITY MENTAL HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO RODRIGUEZ TANQUERO (PRESIDENT)
(786) 227-2966
Entity
Organization
Contact information
Practice address
4995 NW 72ND AVE STE 102, MIAMI, FL 33166-5643
(786) 227-2966
Mailing address
4995 NW 72ND AVE STE 102, MIAMI, FL 33166-5643
(786) 227-2966
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
251B00000X
Case Management Agency
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
Other
Enumeration date
03/17/2021
Last updated
11/21/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers