Healthcare Provider Details

I. General information

NPI: 1629986153
Provider Name (Legal Business Name): ALMA MENTAL HEALTH SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2555 NW 102ND AVE STE 209
DORAL FL
33172-2131
US

IV. Provider business mailing address

2555 NW 102ND AVE STE 209
DORAL FL
33172-2131
US

V. Phone/Fax

Practice location:
  • Phone: 772-774-8361
  • Fax: 772-365-0202
Mailing address:
  • Phone: 772-774-8361
  • Fax: 772-365-0202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JANET ENRIQUEZ
Title or Position: OWNER
Credential:
Phone: 772-774-8361