Shalom Behavioral Services, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SHALOM BEHAVIORAL SERVICES, LLC

Practice address

4711 NW 79TH Ave Ste 7G
Doral, FL 33166-5439

Phone

(786) 537-7657

NPI assigned

Jan 5, 2019

Organization subpart

No

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

Authorized official

Name

Marisol Mendoza

Title

President

Phone

(786) 537-7657

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1546646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546646400000",
    "number": "1992278642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 NW 79TH AVE STE 7G",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331665439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 NW 79TH AVE STE 7G",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331665439",
            "telephone_number": "786-537-7657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-05",
        "last_updated": "2019-01-05",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "MARISOL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-537-7657"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Doral, FL
• Providers in Doral, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2019; 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.