Provider Demographics
NPI:1962662387
Name:LA MER HEALTH SERVICES CORPORATION
Entity Type:Organization
Organization Name:LA MER HEALTH SERVICES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MERLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSENDE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:305-318-7028
Mailing Address - Street 1:5880 COLLINS AVE. #904
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140
Mailing Address - Country:US
Mailing Address - Phone:305-318-7028
Mailing Address - Fax:305-892-8406
Practice Address - Street 1:5880 COLLINS AVE. #904
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140
Practice Address - Country:US
Practice Address - Phone:305-318-7028
Practice Address - Fax:305-892-8406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-10
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC6856261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)