Healthcare Provider Details

I. General information

NPI: 1962336909
Provider Name (Legal Business Name): COMMUNITY MENTAL HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8743 SW 9TH TER STE 2
MIAMI FL
33174-3235
US

IV. Provider business mailing address

8743 SW 9TH TER STE 2
MIAMI FL
33174-3235
US

V. Phone/Fax

Practice location:
  • Phone: 786-534-6915
  • Fax: 786-534-4347
Mailing address:
  • Phone: 786-534-6915
  • Fax: 786-534-4347

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: MERIDA PEREZ
Title or Position: OWNER
Credential:
Phone: 786-534-6915