Organization
LIFESTAR MENTAL WELLNESS CENTER INC, CMHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNY A BERNAL RMHCI (CEO/CFO)
(786) 303-5079
Entity
Organization
Contact information
Practice address
3416 W 84TH ST STE 108, HIALEAH, FL 33018-4935
(305) 557-1555
(786) 442-2176
Mailing address
3416 W 84TH ST STE 108, HIALEAH, FL 33018-4935
(786) 303-5079
(786) 442-2176
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008666100
—
FL
Enumeration date
05/10/2013
Last updated
01/13/2026
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