MEDICARE: LM BEHAVIORAL HEALTH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1831023506
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LM BEHAVIORAL HEALTH, LLC

Provider Business Mailing Address
First Line	:	6039 COLLINS AVE APT 715
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-2250
Country	:	US
Telephone Number	:	786-447-5991
Fax Number	:

Provider Business Practice Location Address
First Line	:	6039 COLLINS AVE APT 715
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-2250
Country	:	US
Telephone Number	:	786-447-5991
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LYZ EIDAM
Credential	:	DNP, FNP, PMHNP
Telephone Number	:	786-447-5991

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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