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Organization
LA LUZ MENTAL HEALTH SERVICES INC
Active
Organization
LA LUZ MENTAL HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE GALAN (CEO)
(305) 582-4807
Entity
Organization
Contact information
Practice address
12700 SW 128TH ST STE 108, MIAMI, FL 33186-5378
(786) 732-0865
(786) 732-0972
Mailing address
3402 SW 89TH AVE, MIAMI, FL 33165-4238
(305) 582-4807
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/25/2021
Last updated
11/17/2023
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