Organization
BRAIN WELLNESS AND MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUNIOR MANUEL PERALTA PENA PMHNP-BC, FNP-BC,MSN (NURSE PRACTITIONER)
(786) 778-0968
Entity
Organization
Contact information
Practice address
5705 W 12TH LN, HIALEAH, FL 33012-2266
(786) 778-0968
Mailing address
5705 W 12TH LN, HIALEAH, FL 33012-2266
(786) 778-0968
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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