Provider Demographics
NPI:1891326708
Name:BENESTAR WELLNESS, LLC
Entity type:Organization
Organization Name:BENESTAR WELLNESS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALGECIRAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-532-8301
Mailing Address - Street 1:2000 S DIXIE HWY STE 104
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-2441
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2000 S DIXIE HWY STE 104
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-2441
Practice Address - Country:US
Practice Address - Phone:954-532-8301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BENESTAR WELLNESS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-29
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty