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Organization
BRAIN WELLNESS AND MENTAL HEALTH LLC
Active
Organization
BRAIN WELLNESS AND MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUNIOR MANUEL PERALTA PENA PMHNP-BC, FNP-BC,MSN (NURSE PRACTITIONER)
(786) 778-0968
Entity
Organization
Contact information
Practice address
5705 W 12TH LN, HIALEAH, FL 33012-2266
(786) 778-0968
Mailing address
5705 W 12TH LN, HIALEAH, FL 33012-2266
(786) 778-0968
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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