Mental Therapy Rehabilitation 2020 Corp

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MENTAL THERAPY REHABILITATION 2020 CORP

Practice address

12485 SW 137TH Ave Ste 202
Miami, FL 33186-4217

Phone

(786) 815-0900

NPI assigned

Mar 23, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lixandra P Quintosa

Title

President

Phone

(786) 815-0900

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1174109516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12485 SW 137TH AVE STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864217",
            "telephone_number": "786-815-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12485 SW 137TH AVE STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864217",
            "telephone_number": "786-815-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL THERAPY REHABILITATION 2020 CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "QUINTOSA",
        "authorized_official_first_name": "LIXANDRA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-815-0900"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mental Insight Wellness PLLC
• Mental Life Solutions Inc
• Mental Medical Center Corp
• Mental Smile LLC
• Mental Smile, LLC
• Mental Therapy Rehabilitations Corp
• Mental Therapy Thiago LLC
• Mental Wellness by Camila LLC
• Mental Wellness Center
• Mental Wellness Center, Inc.

• Community/Behavioral Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.