NPIMap

Organization Active NPI

La Luz Mental Health Services Inc

  • Case Management Agency
  • Miami, FL
National Provider Identifier
1962130054
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LA LUZ MENTAL HEALTH SERVICES INC
Practice address
12700 SW 128TH St Ste 108
Miami, FL 33186-5378
Phone
(786) 732-0865
Fax
(786) 732-0972
NPI assigned
Aug 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Jacqueline Galan
Title
Ceo
Phone
(786) 732-0865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

12700 SW 128TH St Ste 108
Miami, FL 33186-5378

Mailing address

12750 SW 128TH St Ste 212
Miami, FL 33186-5381
Phone (786) 732-0865

National Provider Directory

National Provider Directory
Tax ID family
La Luz Mental Health Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

12750 SW 128th St
Ste 212
Miami, FL 33186
Phone (305) 582-4807

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1962130054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12750 SW 128TH ST STE 212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865381",
            "telephone_number": "786-732-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 SW 128TH ST STE 108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865378",
            "telephone_number": "786-732-0865",
            "fax_number": "786-732-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA LUZ MENTAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "GALAN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-732-0865"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.