Provider Demographics
NPI:1083590582
Name:PSYCHOHEALTH LLC
Entity type:Organization
Organization Name:PSYCHOHEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MISLEYDIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:786-589-9024
Mailing Address - Street 1:232 GROUND DOVE CIR
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33936-6924
Mailing Address - Country:US
Mailing Address - Phone:786-589-9024
Mailing Address - Fax:
Practice Address - Street 1:232 GROUND DOVE CIR
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33936-6924
Practice Address - Country:US
Practice Address - Phone:786-589-9024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty