Organization
PSYCHWELL. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERISLEXIS OLIVA ALVAREZ (OWNER)
(786) 614-3839
Entity
Organization
Contact information
Practice address
5355 W 20TH AVE, HIALEAH, FL 33012-2100
(786) 280-7820
Mailing address
5355 W 20TH AVE, HIALEAH, FL 33012-2100
(786) 614-3839
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
06/11/2024
Last updated
01/10/2026
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