Healthcare Provider Details
I. General information
NPI: 1366967226
Provider Name (Legal Business Name): Y BEHAVIORAL HEALTH SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/11/2017
Last Update Date: 11/21/2022
Certification Date: 11/21/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
280 WESTWARD DR
MIAMI SPRINGS FL
33166-5260
US
IV. Provider business mailing address
501 MOKENA DR
MIAMI SPRINGS FL
33166-6123
US
V. Phone/Fax
- Phone: 305-922-3410
- Fax:
- Phone: 305-922-3410
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
YANIRA
ROSS DE LA TORRE
Title or Position: OWNER, CLINICAL DIRECTOR
Credential: LMHC, CBHCMS
Phone: 305-922-3410