Healthcare Provider Details

I. General information

NPI: 1285199893
Provider Name (Legal Business Name): MIAMI MENTAL HEALTH TEAM INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2019
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1360 S DIXIE HWY SUITE 350
CORAL GABLES FL
33146-2904
US

IV. Provider business mailing address

1360 S DIXIE HWY SUITE 350
CORAL GABLES FL
33146-2904
US

V. Phone/Fax

Practice location:
  • Phone: 305-316-4719
  • Fax:
Mailing address:
  • Phone: 305-316-4719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. IRIS PITALUGA
Title or Position: PRESIDENT-OWNER
Credential: LMHC
Phone: 305-807-7135