Healthcare Provider Details

I. General information

NPI: 1558270199
Provider Name (Legal Business Name): TRUSELF MENTAL HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15834 NW 91ST CT
MIAMI LAKES FL
33018-6361
US

IV. Provider business mailing address

15834 NW 91ST CT
MIAMI LAKES FL
33018-6361
US

V. Phone/Fax

Practice location:
  • Phone: 650-660-1548
  • Fax:
Mailing address:
  • Phone: 650-660-1548
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ALEJANDRA MARQUEZ MOSQUERA
Title or Position: OWNER
Credential: LMHC
Phone: 650-660-1548