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General NPI Number Information
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NPI Number | 1073338307
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Entity Type | Organization
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Legal Business Name | MIAMI MENTAL HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 9835 SUNSET DR STE 105
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City | MIAMI
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State | FL
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Zip | 33173-4648
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Country | US
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Telephone | 786-937-9835
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Fax | 786-937-9834
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Provider Business Mailing Address
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Address Line | 9835 SUNSET DR STE 105
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City | MIAMI
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State | FL
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Zip | 33173-4648
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Country | US
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Telephone | 786-937-9835
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Fax | 786-937-9834
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Authorized Official
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Title or Position | OWNER
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Name | YANISLEIDY MONDEJA
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Credential |
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Telephone | 305-909-0626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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