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Organization

BENWELL REALITY HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ILNISE MATHIEU (DIRECTOR OF OPERATIONS)
(305) 771-4544
Entity
Organization

Contact information

Practice address
7900 NW 27TH AVE STE B03, MIAMI, FL 33147-4910
(305) 771-4544
Mailing address
7900 NW 27TH AVE STE B03, MIAMI, FL 33147-4910
(305) 771-4544

Taxonomy

Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
103TF0000X
Family Psychologist
103TP2701X
Group Psychotherapy Psychologist
251S00000X
Community/Behavioral Health Agency
261QC1500X
Community Health Clinic/Center
261QH0100X
Health Service Clinic/Center
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM1300X
Multi-Specialty Clinic/Center
Primary
261QP2300X
Primary Care Clinic/Center
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other

Enumeration date
06/13/2025
Last updated
06/13/2025
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