Healthcare Provider Details

I. General information

NPI: 1801718044
Provider Name (Legal Business Name): PROFESSIONAL MENTAL HEALTH SOLUTION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3590 E 2ND AVE
HIALEAH FL
33013-2611
US

IV. Provider business mailing address

3590 E 2ND AVE
HIALEAH FL
33013-2611
US

V. Phone/Fax

Practice location:
  • Phone: 305-206-2270
  • Fax:
Mailing address:
  • Phone: 305-206-2270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: YAIMA LUGONES MARCELL
Title or Position: PRESIDENT
Credential: BCBA
Phone: 305-206-2270