# LA LUZ MENTAL HEALTH SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700687100
- **Authorized official:** JACQUELINE GALAN (OWNER)
- **Authorized official phone:** (786) 732-0865

## Contact information

- **Practice address:** 12700 SW 128TH ST STE 108, MIAMI, FL 33186-5378
- **Practice address phone:** (786) 732-0865
- **Mailing address:** 12700 SW 128TH ST STE 108, MIAMI, FL 33186-5378
- **Mailing address phone:** (786) 732-0865

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/21/2025
- **Last updated:** 03/21/2025