Provider Demographics
NPI:1407678238
Name:MENTAL HEALTH SOLUTIONS SFL LLC
Entity type:Organization
Organization Name:MENTAL HEALTH SOLUTIONS SFL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CILIEZAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-270-5330
Mailing Address - Street 1:9200 SW 3RD ST APT 107
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-4579
Mailing Address - Country:US
Mailing Address - Phone:561-270-5330
Mailing Address - Fax:561-960-0506
Practice Address - Street 1:1016 CLARE AVE STE 5
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-6219
Practice Address - Country:US
Practice Address - Phone:561-270-5330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty