Healthcare Provider Details

I. General information

NPI: 1770418154
Provider Name (Legal Business Name): MENTAL INSIGHT WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14707 S DIXIE HWY STE 207
MIAMI FL
33176-7951
US

IV. Provider business mailing address

14707 S DIXIE HWY STE 207
MIAMI FL
33176-7951
US

V. Phone/Fax

Practice location:
  • Phone: 305-204-6864
  • Fax: 754-315-2703
Mailing address:
  • Phone: 305-204-6864
  • Fax: 754-315-2703

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: KATRINA FLANAGAN
Title or Position: OWNER
Credential:
Phone: 305-204-6864