Organization
SUNNYSIDE MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUSELIS TITO AMADOR (AUTHORIZED OFFICIAL)
(305) 497-0977
Entity
Organization
Contact information
Practice address
1490 W 49TH PL STE 309, HIALEAH, FL 33012-8131
(305) 333-3333
Mailing address
1490 W 49TH PL STE 309, HIALEAH, FL 33012-8131
(305) 843-9333
(786) 567-4764
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
03/18/2021
Last updated
11/18/2025
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