MEDICARE: MENTAL HEALTH AND ADDICTIONS SERVICES CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1104565175
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MENTAL HEALTH AND ADDICTIONS SERVICES CORP

Provider Business Mailing Address
First Line	:	3040 SW 105TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-2736
Country	:	US
Telephone Number	:	786-380-7171
Fax Number	:

Provider Business Practice Location Address
First Line	:	3040 SW 105TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-2736
Country	:	US
Telephone Number	:	786-380-7171
Fax Number	:	786-364-0140

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. SAILY DELGADO ABRAHAM
Credential	:
Telephone Number	:	786-380-7171

Provider Enumeration Date	:	05/30/2022
Last Update Date	:	03/02/2026

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