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Organization
LC MENTAL HEALTH CONSULTING INC
Active
Organization
LC MENTAL HEALTH CONSULTING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS COLLAZO APRN (PMHNP)
(786) 300-7704
Entity
Organization
Contact information
Practice address
9299 SW 152ND ST STE 200, PALMETTO BAY, FL 33157-1776
(786) 300-7704
Mailing address
8207 NW 59TH PL, TAMARAC, FL 33321-4214
(786) 300-7704
(786) 300-7704
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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