Everglades Community Mental Health Center, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EVERGLADES COMMUNITY MENTAL HEALTH CENTER, LLC

Practice address

4906 SW 72ND Ave
Miami, FL 33155-5527

Phone

(305) 669-4762

Fax

(305) 669-1450

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Joanne Telmosse

Title

Chief Operating Officer

Phone

(305) 669-4762

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518917210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4906 SW 72ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555527",
            "telephone_number": "305-669-4762",
            "fax_number": "305-669-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 SW 72ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555527",
            "telephone_number": "305-669-4762",
            "fax_number": "305-669-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGLADES COMMUNITY MENTAL HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TELMOSSE",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "305-669-4762",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Miami, FL
• Providers in Miami, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.