Organization
NIRVANA MENTAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRENA MONZON (MEMBER)
(786) 342-9092
Entity
Organization
Contact information
Practice address
3409 POWERLINE RD STE 1104, FORT LAUDERDALE, FL 33309-5945
(561) 962-0792
(561) 537-2512
Mailing address
3409 POWERLINE RD STE 1104, FORT LAUDERDALE, FL 33309-5945
(561) 962-0792
(561) 537-2512
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/11/2020
Last updated
07/01/2024
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