MEDICARE: INFLUX THERAPY MENTAL HEALTH INCORPORATED

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720685134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFLUX THERAPY MENTAL HEALTH INCORPORATED

Provider Business Mailing Address
First Line	:	9530 SW 7TH CT
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33025-1124
Country	:	US
Telephone Number	:	305-510-8552
Fax Number	:

Provider Business Practice Location Address
First Line	:	9050 PINES BLVD STE 425430
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-6455
Country	:	US
Telephone Number	:	305-510-8552
Fax Number	:	954-628-3333

Authorized Official
Title or Position	:	PRESIDENT
Name	:	YAIMA MENA
Credential	:
Telephone Number	:	305-510-8552

Provider Enumeration Date	:	10/08/2020
Last Update Date	:	05/05/2026

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Directions to “INFLUX THERAPY MENTAL HEALTH INCORPORATED ” Practice Location

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