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Organization
COMMUNITY BEHAVIORAL HEALTH LLC
Active
Organization
COMMUNITY BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL A DIAZ APRN, PMHNP-BC (OWNER/CEO)
(305) 459-3207
Entity
Organization
Contact information
Practice address
8323 NW 12TH ST STE 108, DORAL, FL 33126-1839
(305) 400-8511
(305) 392-0184
Mailing address
8323 NW 12TH ST STE 108, DORAL, FL 33126-1839
(305) 400-8511
(305) 392-0184
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103311900
—
FL
05
—
103311901
—
FL
01
—
3FBY8
BLUE CROSS
FL
Enumeration date
04/09/2019
Last updated
10/10/2025
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