Manuel Medina, BSN, CBHCM

NPI 1538792577 · on the registry since 2020 · sole proprietor

Practice

Address: 3414 W 84th St Ste 100
Hialeah Gardens, FL 33018
Phone: (786) 313-3558
Fax: (786) 360-5803
Organisation at this address: Lifestar Mental Wellness Center Inc, Cmhc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 104100000X
104100000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-10-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida