Healthcare Provider Details

I. General information

NPI: 1194644922
Provider Name (Legal Business Name): MENTAL HEALTH 1ST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6001 NW 153RD ST STE 203
MIAMI LAKES FL
33014-2421
US

IV. Provider business mailing address

6001 NW 153RD ST STE 203
MIAMI LAKES FL
33014-2421
US

V. Phone/Fax

Practice location:
  • Phone: 786-459-2466
  • Fax:
Mailing address:
  • Phone: 786-459-2466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: OLGA VIZCAINO
Title or Position: CEO
Credential: PMHNP
Phone: 786-459-2466