Healthcare Provider Details

I. General information

NPI: 1316871338
Provider Name (Legal Business Name): MENTAL HEALTH AMERICA OF SOUTHEAST FLORIDA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7145 W OAKLAND PARK BLVD
LAUDERHILL FL
33313-1012
US

IV. Provider business mailing address

7145 W OAKLAND PARK BLVD
LAUDERHILL FL
33313-1012
US

V. Phone/Fax

Practice location:
  • Phone: 954-746-2055
  • Fax: 954-746-6373
Mailing address:
  • Phone: 954-746-2055
  • Fax: 954-746-6373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. DANIELLA AGUDELO
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 954-746-2055