Provider Demographics
NPI:1164265120
Name:ONE SOUL CMH INC
Entity type:Organization
Organization Name:ONE SOUL CMH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:YULEXIS
Authorized Official - Middle Name:L
Authorized Official - Last Name:NAVARRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-332-4965
Mailing Address - Street 1:5901 NW 183RD ST STE 128
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33015-6009
Mailing Address - Country:US
Mailing Address - Phone:786-332-4965
Mailing Address - Fax:786-362-6077
Practice Address - Street 1:5901 NW 183RD ST STE 128
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33015-6009
Practice Address - Country:US
Practice Address - Phone:786-332-4965
Practice Address - Fax:786-362-6077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty