Organization
LB MENTAL HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ALICIA BESADA PMHNP-BC (PMHNP-BC)
(786) 356-1123
Entity
Organization
Contact information
Practice address
3302 W 97TH TER, HIALEAH, FL 33018-2044
(786) 356-1123
Mailing address
3302 W 97TH TER, HIALEAH, FL 33018-2044
(786) 356-1123
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972117000
NPI
FL
Enumeration date
08/05/2022
Last updated
08/05/2022
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