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Contact Information

PRESTIGIOUS MENTAL WELLNESS
1021 IVES DAIRY RD STE 216
MIAMI, FL33179-2537
 Phone: 305-766-4064
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Service

103TH0100X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PRESTIGIOUS MENTAL WELLNESS · (Female)

NPI Number 1346087723
Status Active
Credentials
Entity Individual
Enumeration date 07/11/2024
Last updated 09/18/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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