| Lifestar Mental Wellness Center Inc, Cmhc | |
|
3414 W 84th St Ste D110 Hialeah Gardens FL 33018-4932 | |
| (786) 303-5079 | |
| Not Available |
| Full Name | Lifestar Mental Wellness Center Inc, Cmhc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3414 W 84th St Ste D110, Hialeah Gardens, Florida |
| Authorized Official Name and Position | Jenny A Bernal (CEO) |
| Authorized Official Contact | 7863035079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestar Mental Wellness Center Inc, Cmhc 1199 Ne 1st Ave Florida City FL 33034-2409 Ph: () - | Lifestar Mental Wellness Center Inc, Cmhc 3414 W 84th St Ste D110 Hialeah Gardens FL 33018-4932 Ph: (786) 303-5079 |
| NPI Number | 1568035269 |
|---|---|
| Provider Enumeration Date | 07/20/2021 |
| Last Update Date | 08/11/2022 |
| Certification Date | 08/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568035269 | NPI | - | NPPES |
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