Provider Demographics
NPI:1639745789
Name:THE LINA CENTER FOR MENTAL WELLNESS, INC
Entity Type:Organization
Organization Name:THE LINA CENTER FOR MENTAL WELLNESS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ISBELL
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVA-GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:305-303-6631
Mailing Address - Street 1:17063 SW 215TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33187-4313
Mailing Address - Country:US
Mailing Address - Phone:305-303-6631
Mailing Address - Fax:
Practice Address - Street 1:17063 SW 215TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33187-4313
Practice Address - Country:US
Practice Address - Phone:305-303-6631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-31
Last Update Date:2021-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health