Healthcare Provider Details

I. General information

NPI: 1659693596
Provider Name (Legal Business Name): YELI THERAPY CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2010
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1435 SW 27TH AVE
MIAMI FL
33145-1234
US

IV. Provider business mailing address

1435 SW 27TH AVE
MIAMI FL
33145-1234
US

V. Phone/Fax

Practice location:
  • Phone: 305-648-0360
  • Fax: 305-648-0361
Mailing address:
  • Phone: 305-648-0360
  • Fax: 305-648-0361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ONAISY ROSALES
Title or Position: OWNER
Credential:
Phone: 305-648-0360