Healthcare Provider Details

I. General information

NPI: 1063321891
Provider Name (Legal Business Name): CG MENTAL HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 N KENDALL DR UNIT 807-J
MIAMI FL
33156-7564
US

IV. Provider business mailing address

7700 N KENDALL DR UNIT 807-J
MIAMI FL
33156-7564
US

V. Phone/Fax

Practice location:
  • Phone: 786-855-7613
  • Fax: 786-829-3065
Mailing address:
  • Phone: 786-855-7613
  • Fax: 786-829-3065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHRISTABEL EVELIZE GARCIA
Title or Position: PRES
Credential: APRN
Phone: 786-855-7613