NPIMap

Organization Active NPI

Life Well Behavioral Health Center, Inc.

  • Case Management Agency
  • Doral, FL
National Provider Identifier
1447926977
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LIFE WELL BEHAVIORAL HEALTH CENTER, INC.
Practice address
2801 NW 87TH Ave Ste 7
Doral, FL 33172-1604
Phone
(786) 717-6881
NPI assigned
Aug 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Lianet Gonzalez
Title
Ceo
Phone
(786) 759-8995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2801 NW 87TH Ave Ste 7
Doral, FL 33172-1604

Mailing address

2801 NW 87TH Ave Ste 7
Doral, FL 33172-1604
Phone (786) 717-6881

Other identifiers 2

IdentifierTypeStateIssuer
01476670MedicaidFL
014766700MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Life Well Behavioral Health Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1447926977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 NW 87TH AVE STE 7",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721604",
            "telephone_number": "786-717-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NW 87TH AVE STE 7",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721604",
            "telephone_number": "786-717-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE WELL BEHAVIORAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LIANET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-759-8995"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01476670",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014766700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.