Healthcare Provider Details

I. General information

NPI: 1922508886
Provider Name (Legal Business Name): 1ST CLASS MENTAL HEALTH SERVICES, CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2018
Last Update Date: 06/08/2021
Certification Date: 06/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7392 NW 35TH TER STE 204
MIAMI FL
33122-1271
US

IV. Provider business mailing address

7392 NW 35TH TER STE 204
MIAMI FL
33122-1271
US

V. Phone/Fax

Practice location:
  • Phone: 305-530-8177
  • Fax: 305-530-8179
Mailing address:
  • Phone: 305-805-6903
  • Fax: 305-477-6751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MILEIDY ROMERO
Title or Position: OWNER
Credential:
Phone: 786-612-5322