Provider Demographics
NPI:1568295608
Name:KAZO MENTAL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:KAZO MENTAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:MS
Authorized Official - First Name:KATIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALLEJA
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:786-234-6571
Mailing Address - Street 1:10791 N KENDALL DR # B22
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1467
Mailing Address - Country:US
Mailing Address - Phone:786-234-6571
Mailing Address - Fax:
Practice Address - Street 1:10691 N KENDALL DR STE 105
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1596
Practice Address - Country:US
Practice Address - Phone:305-878-2665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-23
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty