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General NPI Number Information
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NPI Number | 1730973801
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Entity Type | Organization
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Legal Business Name | QUALITY LIFE MENTAL HEALTH INC
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Dates
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Enumeration Date | 04/05/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 640 W PALM DR STE C
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City | FLORIDA CITY
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State | FL
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Zip | 33034-3237
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Country | US
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Telephone | 305-793-4701
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Fax |
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Provider Business Mailing Address
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Address Line | 640 W PALM DR STE C
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City | FLORIDA CITY
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State | FL
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Zip | 33034-3237
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Country | US
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Telephone | 305-793-4701
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | YOELSI PEREZ
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Credential |
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Telephone | 305-793-4701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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