Provider Demographics
NPI:1326845652
Name:DOCTOR'S MENTAL HEALTH AND BEAUTY LLC
Entity type:Organization
Organization Name:DOCTOR'S MENTAL HEALTH AND BEAUTY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSY
Authorized Official - Middle Name:LUZ
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-278-1181
Mailing Address - Street 1:9371 FOUNTAINBLEAU BLVD APT I121
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-5672
Mailing Address - Country:US
Mailing Address - Phone:786-278-1181
Mailing Address - Fax:
Practice Address - Street 1:2200 SW 16TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2067
Practice Address - Country:US
Practice Address - Phone:305-456-2502
Practice Address - Fax:305-631-2967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty