Organization
OASIS WELLNESS CENTER OF FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YELENA INGUANZO LMHC (MANAGER)
(305) 613-5125
Entity
Organization
Contact information
Practice address
4410 W 16TH AVE STE 59, HIALEAH, FL 33012-7194
(305) 824-8559
(305) 824-8561
Mailing address
4410 W 16TH AVE STE 59, HIALEAH, FL 33012-7194
(305) 824-8559
(305) 824-8561
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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