Provider Demographics
NPI:1366967226
Name:Y BEHAVIORAL HEALTH SOLUTIONS
Entity type:Organization
Organization Name:Y BEHAVIORAL HEALTH SOLUTIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:YANIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS DE LA TORRE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, CBHCMS
Authorized Official - Phone:305-922-3410
Mailing Address - Street 1:501 MOKENA DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6123
Mailing Address - Country:US
Mailing Address - Phone:305-922-3410
Mailing Address - Fax:
Practice Address - Street 1:280 WESTWARD DR
Practice Address - Street 2:
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-5260
Practice Address - Country:US
Practice Address - Phone:305-922-3410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-11
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL110631700Medicaid