Healthcare Provider Details
I. General information
NPI: 1720612013
Provider Name (Legal Business Name): NEW PERSPECTIVE MENTAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/26/2020
Last Update Date: 07/16/2024
Certification Date: 07/16/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6141 SUNSET DR STE 402
SOUTH MIAMI FL
33143-5026
US
IV. Provider business mailing address
2103 CORAL WAY STE 601
CORAL GABLES FL
33145-2656
US
V. Phone/Fax
- Phone: 786-507-8300
- Fax:
- Phone: 305-967-8144
- Fax: 888-845-0592
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084A0401X |
| Taxonomy | Addiction Medicine (Psychiatry & Neurology) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0805X |
| Taxonomy | Geriatric Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LAURAINE
MEJIA
Title or Position: ADMINSTRATION
Credential:
Phone: 786-222-3922