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Organization
ANTIAN MENTAL HEALTH CENTER LLC
Active
Organization
ANTIAN MENTAL HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAIDEMBER GUEMEZ LMHC (MANAGER)
(786) 800-4759
Entity
Organization
Contact information
Practice address
13335 SW 124TH ST STE 212, MIAMI, FL 33186-7515
(786) 800-4759
(786) 527-2909
Mailing address
15125 SW 180TH ST, MIAMI, FL 33187-6314
(786) 800-4759
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/05/2019
Last updated
06/18/2021
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