Organization
ELEMENTAL BEHAVIORAL INC.
Active
Organization
ELEMENTAL BEHAVIORAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL AUGUSTO MELENDEZ MD (OWNER)
(305) 926-9124
Entity
Organization
Contact information
Practice address
10250 SW 56TH ST STE A102, MIAMI, FL 33165-7064
(786) 477-4431
(786) 477-4377
Mailing address
10250 SW 56TH ST STE A102, MIAMI, FL 33165-7064
(786) 477-4431
(786) 477-4377
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012847400
—
FL
01
—
15755
EXEMPT COMMUNITY MENTAL HEALTH CENTER
FL
Enumeration date
08/04/2014
Last updated
11/30/2025
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