Jms Wellness Within LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Miami Gardens, FL. Organization (NPI-2).
NPI number1245043645
StatusActive
Last updated in NPPESJun 3, 2025
Details
- NPI
- 1245043645
- Entity type
- Organization (NPI-2)
- Legal business name
- Jms Wellness Within LLC
- Organization subpart
- No
- Enumeration date
- Jan 29, 2025
- Certification date
- Jun 3, 2025
- Last updated
- Jun 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Practice location
17325 Nw 27th Ave Ste 105Miami Gardens, FL 33056-4000
Phone 305-342-9421
Mailing address
17325 Nw 27th Ave Ste 105Miami Gardens, FL 33056-4000
Phone 305-342-9421
Authorized official
Maytee Regla Cuevas Rojas
Owner
3053429421
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