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Organization

COMMUNITY BEHAVIORAL HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIGUEL A DIAZ APRN, PMHNP-BC (OWNER/CEO)
(305) 459-3207
Entity
Organization

Contact information

Practice address
8323 NW 12TH ST STE 108, DORAL, FL 33126-1839
(305) 400-8511
(305) 392-0184
Mailing address
8323 NW 12TH ST STE 108, DORAL, FL 33126-1839
(305) 400-8511
(305) 392-0184

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
2084N0400X
Neurology Physician
2084P0800X
Psychiatry Physician
2084P0802X
Addiction Psychiatry Physician
2084P0804X
Child & Adolescent Psychiatry Physician
2084P0805X
Geriatric Psychiatry Physician
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM1300X
Multi-Specialty Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103311900
FL
05
103311901
FL
01
3FBY8
BLUE CROSS
FL
Enumeration date
04/09/2019
Last updated
10/10/2025
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