NPI Code Details Logo

NPI 1316871338

NPI 1316871338 : MENTAL HEALTH AMERICA OF SOUTHEAST FLORIDA : LAUDERHILL, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1316871338
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    MENTAL HEALTH AMERICA OF SOUTHEAST FLORIDA 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/12/2026
-----------------------------------------------------
    Last Update Date     |    06/12/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    7145 W OAKLAND PARK BLVD 
-----------------------------------------------------
    City                 |    LAUDERHILL
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33313-1012
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    954-746-2055
-----------------------------------------------------
    Fax                  |    954-746-6373
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    7145 W OAKLAND PARK BLVD 
-----------------------------------------------------
    City                 |    LAUDERHILL
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33313-1012
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    954-746-2055
-----------------------------------------------------
    Fax                  |    954-746-6373
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    DIRECTOR OF FINANCE
-----------------------------------------------------
    Name                 |    MS. DANIELLA  AGUDELO 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    954-746-2055
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.