Provider Demographics
NPI:1952929028
Name:LIVE MENTAL CARE INC
Entity Type:Organization
Organization Name:LIVE MENTAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALAIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:TOLEDO FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-298-9771
Mailing Address - Street 1:8040 NW 95TH ST.
Mailing Address - Street 2:UNIT 226
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33016
Mailing Address - Country:US
Mailing Address - Phone:786-604-2450
Mailing Address - Fax:786-687-0087
Practice Address - Street 1:8040 NW 95TH ST.
Practice Address - Street 2:UNIT 226
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33016
Practice Address - Country:US
Practice Address - Phone:786-604-2450
Practice Address - Fax:786-687-0087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health