Healthcare Provider Details

I. General information

NPI: 1104734656
Provider Name (Legal Business Name): DE CARDENAS BEHAVIORAL HEALTH SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12341 SW 35TH ST
MIAMI FL
33175-3067
US

IV. Provider business mailing address

12341 SW 35TH ST
MIAMI FL
33175-3067
US

V. Phone/Fax

Practice location:
  • Phone: 305-342-7803
  • Fax:
Mailing address:
  • Phone: 305-773-6233
  • 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: LORENA DE CARDENAS
Title or Position: CEO
Credential: LMHC
Phone: 305-773-6233