Provider Demographics
NPI:1649541814
Name:NEST EMOTIONAL WELLNESS CENTER
Entity type:Organization
Organization Name:NEST EMOTIONAL WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:VEGA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:305-392-0788
Mailing Address - Street 1:115 MADEIRA AVE
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4515
Mailing Address - Country:US
Mailing Address - Phone:305-392-0788
Mailing Address - Fax:
Practice Address - Street 1:115 MADEIRA AVE
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-4515
Practice Address - Country:US
Practice Address - Phone:305-392-0788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2152251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health