Healthcare Provider Details

I. General information

NPI: 1720685134
Provider Name (Legal Business Name): INFLUX THERAPY MENTAL HEALTH INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2020
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9050 PINES BLVD STE 425430
PEMBROKE PINES FL
33024-6455
US

IV. Provider business mailing address

9530 SW 7TH CT
PEMBROKE PINES FL
33025-1124
US

V. Phone/Fax

Practice location:
  • Phone: 305-510-8552
  • Fax: 954-628-3333
Mailing address:
  • Phone: 305-510-8552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: YAIMA MENA
Title or Position: PRESIDENT
Credential:
Phone: 305-510-8552