MEDICARE: MENTAL HEALTH AMERICA OF SOUTHEAST FLORIDA

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1316871338
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MENTAL HEALTH AMERICA OF SOUTHEAST FLORIDA

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

Provider Business Practice Location Address
First Line	:	7145 W OAKLAND PARK BLVD
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33313-1012
Country	:	US
Telephone Number	:	954-746-2055
Fax Number	:	954-746-6373

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

Provider Enumeration Date	:	06/12/2026
Last Update Date	:	06/12/2026

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