Provider Demographics
NPI:1740815794
Name:B & M HEALTH SERVICES, INC
Entity type:Organization
Organization Name:B & M HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MAYREN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRAGUELA-LAM
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:786-344-5626
Mailing Address - Street 1:725 NW 129TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33182-2354
Mailing Address - Country:US
Mailing Address - Phone:786-344-5626
Mailing Address - Fax:
Practice Address - Street 1:725 NW 129TH PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33182-2354
Practice Address - Country:US
Practice Address - Phone:786-344-5626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-10
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty