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Organization
LIFESTAR MENTAL WELLNESS CENTER INC, CMHC
Active
Organization
LIFESTAR MENTAL WELLNESS CENTER INC, CMHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY A BERNAL RMHI (CEO)
(786) 303-5079
Entity
Organization
Contact information
Practice address
3414 W 84TH ST STE D110, HIALEAH GARDENS, FL 33018-4932
(786) 303-5079
Mailing address
3414 W 84TH ST STE D110, HIALEAH, FL 33018-4932
(305) 825-4320
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/19/2024
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