Provider Demographics
NPI:1689472417
Name:ICARE MENTAL HEALTH AND WELLNESS SERVICES
Entity type:Organization
Organization Name:ICARE MENTAL HEALTH AND WELLNESS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ISMEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ-CALIENES
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:786-370-3039
Mailing Address - Street 1:12891 SW 62ND LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-5450
Mailing Address - Country:US
Mailing Address - Phone:786-370-3039
Mailing Address - Fax:786-370-3039
Practice Address - Street 1:8532 SW 8TH ST STE 290
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4054
Practice Address - Country:US
Practice Address - Phone:786-927-8048
Practice Address - Fax:786-504-7034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center