Organization
LA LUZ MENTAL HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE GALAN (CEO)
(786) 732-0865
Entity
Organization
Contact information
Practice address
12700 SW 128TH ST STE 108, MIAMI, FL 33186-5378
(786) 732-0865
(786) 732-0972
Mailing address
12750 SW 128TH ST STE 212, MIAMI, FL 33186-5381
(786) 732-0865
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
09/30/2024
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