Healthcare Provider Details

I. General information

NPI: 1467141028
Provider Name (Legal Business Name): AMEL THERAPY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2023
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 N FEDERAL HWY STE 1
LAKE WORTH FL
33460-1940
US

IV. Provider business mailing address

1313 N FEDERAL HWY STE 1
LAKE WORTH BEACH FL
33460-1940
US

V. Phone/Fax

Practice location:
  • Phone: 561-346-2550
  • Fax: 561-258-8580
Mailing address:
  • Phone: 786-340-7882
  • Fax: 561-210-5229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: FERNANDO CAPETILLO
Title or Position: CEO/OWNER
Credential:
Phone: 786-340-7882