# LA LUZ MENTAL HEALTH SERVICES INC

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

## Provider details

- **NPI number:** 1962130054
- **Authorized official:** JACQUELINE GALAN (CEO)
- **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
- **Practice address fax:** (786) 732-0972
- **Mailing address:** 12750 SW 128TH ST STE 212, MIAMI, FL 33186-5381
- **Mailing address phone:** (786) 732-0865

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/08/2022
- **Last updated:** 09/30/2024