Provider Demographics
NPI:1285217356
Name:EQUALITY MENTAL CENTER INC
Entity Type:Organization
Organization Name:EQUALITY MENTAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:INDIRA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALVAREZ SAENZ
Authorized Official - Suffix:
Authorized Official - Credentials:ICSW, CBHCMS
Authorized Official - Phone:786-612-4461
Mailing Address - Street 1:5803 NW 151ST ST STE 200B
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2473
Mailing Address - Country:US
Mailing Address - Phone:305-402-4793
Mailing Address - Fax:305-539-9119
Practice Address - Street 1:5803 NW 151ST ST STE 200B
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2473
Practice Address - Country:US
Practice Address - Phone:305-402-4793
Practice Address - Fax:305-539-9119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-05
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL110547300Medicaid
FL110401200Medicaid