Healthcare Provider Details

I. General information

NPI: 1336724707
Provider Name (Legal Business Name): ABME MENTAL HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2021
Last Update Date: 03/16/2021
Certification Date: 03/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15325 NW 60TH AVE STE 101
MIAMI LAKES FL
33014-2470
US

IV. Provider business mailing address

15325 NW 60TH AVE STE 101
MIAMI LAKES FL
33014-2470
US

V. Phone/Fax

Practice location:
  • Phone: 305-698-2400
  • Fax: 305-698-2421
Mailing address:
  • Phone: 305-698-2400
  • Fax: 305-698-2421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRIAN LLAMO
Title or Position: PRESIDENT
Credential:
Phone: 305-698-2400