Healthcare Provider Details

I. General information

NPI: 1023972817
Provider Name (Legal Business Name): B HEALTHCARE EVOLUTION LLC DBA B MENTAL HEALTH EVOLUTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 ALHAMBRA PLZ STE 1076
CORAL GABLES FL
33134-4540
US

IV. Provider business mailing address

121 ALHAMBRA PLZ STE 1076
CORAL GABLES FL
33134-4540
US

V. Phone/Fax

Practice location:
  • Phone: 786-419-8143
  • Fax:
Mailing address:
  • Phone: 786-419-8143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHIRLEY BERANGER
Title or Position: PMHNP-BC
Credential: MSN,ARNP, PMHNP-BC
Phone: 786-419-8143