Provider Demographics
NPI:1356932586
Name:LA FAMILIA MENTAL HEALTH INC
Entity type:Organization
Organization Name:LA FAMILIA MENTAL HEALTH INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ISIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-901-1191
Mailing Address - Street 1:1550 W 84TH ST STE 31
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33014
Mailing Address - Country:US
Mailing Address - Phone:305-742-5163
Mailing Address - Fax:
Practice Address - Street 1:1550 W 84TH ST STE 31
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33014-3355
Practice Address - Country:US
Practice Address - Phone:305-901-1191
Practice Address - Fax:786-615-5635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-31
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No251S00000XAgenciesCommunity/Behavioral Health
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care