Organization
MY MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MABEL Y DUARTE (PRESIDENT)
(347) 366-6815
Entity
Organization
Contact information
Practice address
4995 NW 72ND AVE STE 204, MIAMI, FL 33166-5643
(347) 366-6815
Mailing address
4995 NW 72ND AVE STE 204, MIAMI, FL 33166-5643
(347) 366-6815
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105166900
—
FL
Enumeration date
01/01/2020
Last updated
08/26/2021
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