Provider Demographics
NPI:1902465339
Name:KENDALL BEHAVIORAL MENTAL HEALTH
Entity type:Organization
Organization Name:KENDALL BEHAVIORAL MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VISEPRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ARELYS
Authorized Official - Middle Name:
Authorized Official - Last Name:ZERPA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:786-338-8999
Mailing Address - Street 1:10621 N KENDALL DR STE 122
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1549
Mailing Address - Country:US
Mailing Address - Phone:786-402-8282
Mailing Address - Fax:786-419-0756
Practice Address - Street 1:10621 N KENDALL DR STE 122
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1549
Practice Address - Country:US
Practice Address - Phone:786-402-8282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-10
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty