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General NPI Number Information
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NPI Number | 1821888413
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Entity Type | Organization
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Legal Business Name | GENERAL MENTAL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 11272 SW 137TH AVE
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City | MIAMI
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State | FL
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Zip | 33186-4203
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Country | US
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Telephone | 786-792-4928
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Fax |
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Provider Business Mailing Address
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Address Line | 14310 SW 8TH ST PO BOX 940095
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City | MIAMI
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State | FL
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Zip | 33184
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Country | US
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Telephone | 786-792-4928
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERICK ACOSTA HEREDIA
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Credential | MD
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Telephone | 561-325-2848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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