Provider Demographics
NPI:1275044489
Name:A&M BEHAVIORAL INC
Entity Type:Organization
Organization Name:A&M BEHAVIORAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAYON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-514-6406
Mailing Address - Street 1:2655 S LE JEUNE RD STE 1016
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5803
Mailing Address - Country:US
Mailing Address - Phone:786-505-2597
Mailing Address - Fax:786-504-9808
Practice Address - Street 1:2655 S LE JEUNE RD STE 1016
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5803
Practice Address - Country:US
Practice Address - Phone:786-505-2597
Practice Address - Fax:786-504-9808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-14
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6084101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL022617200Medicaid