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Organization
BENWELL REALITY HEALTH CENTER
Active
Organization
BENWELL REALITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILNISE MATHIEU (DIRECTOR OF OPERATIONS)
(305) 771-4544
Entity
Organization
Contact information
Practice address
7900 NW 27TH AVE STE B03, MIAMI, FL 33147-4910
(305) 771-4544
Mailing address
7900 NW 27TH AVE STE B03, MIAMI, FL 33147-4910
(305) 771-4544
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
—
NULL
103TA0700X
Adult Development & Aging Psychologist
—
—
103TF0000X
Family Psychologist
—
NULL
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
NULL
103TP2701X
Group Psychotherapy Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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