Provider Demographics
NPI:1437680139
Name:MIAMI MENTAL HEALTH SERVICES, CORP
Entity Type:Organization
Organization Name:MIAMI MENTAL HEALTH SERVICES, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:A
Authorized Official - Last Name:CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, BCBA
Authorized Official - Phone:786-271-2529
Mailing Address - Street 1:10515 SW 40TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-3747
Mailing Address - Country:US
Mailing Address - Phone:786-615-2208
Mailing Address - Fax:
Practice Address - Street 1:10515 SW 40TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-3747
Practice Address - Country:US
Practice Address - Phone:786-271-2529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-23
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center