Healthcare Provider Details

I. General information

NPI: 1679494207
Provider Name (Legal Business Name): MH BEHAVIORAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 NW 179TH ST
MIAMI GARDENS FL
33056-3525
US

IV. Provider business mailing address

2800 NW 179TH ST
MIAMI GARDENS FL
33056-3525
US

V. Phone/Fax

Practice location:
  • Phone: 786-647-3530
  • Fax:
Mailing address:
  • Phone: 786-647-3530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: MILENA HERNANDEZ
Title or Position: OWNER
Credential: RBT
Phone: 786-647-3530