Healthcare Provider Details

I. General information

NPI: 1982414801
Provider Name (Legal Business Name): INTEGRITY MENTAL HEALTH CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2025
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

926 SW 82ND AVE
MIAMI FL
33144-4240
US

IV. Provider business mailing address

1171 BLUEBIRD AVE
MIAMI SPRINGS FL
33166-3115
US

V. Phone/Fax

Practice location:
  • Phone: 856-952-4011
  • Fax:
Mailing address:
  • Phone: 856-952-4011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEXANDER PADRON
Title or Position: OWNER
Credential: MD
Phone: 856-952-4011