Provider Demographics
NPI:1336824655
Name:OCEANIC MIND HEALTH SOLUTION CORP
Entity Type:Organization
Organization Name:OCEANIC MIND HEALTH SOLUTION CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIANA
Authorized Official - Middle Name:YADIRA
Authorized Official - Last Name:LESCAILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-570-5748
Mailing Address - Street 1:937 SW 87TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-3206
Mailing Address - Country:US
Mailing Address - Phone:786-740-3968
Mailing Address - Fax:
Practice Address - Street 1:937 SW 87TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-3206
Practice Address - Country:US
Practice Address - Phone:786-740-3968
Practice Address - Fax:305-397-1127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-15
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management