Provider Demographics
NPI:1437927019
Name:CIRCLE OF LIFE MENTAL HEALTH CARE INC
Entity type:Organization
Organization Name:CIRCLE OF LIFE MENTAL HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:COPETE CASTANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-909-3271
Mailing Address - Street 1:2100 CORAL WAY STE 502
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2657
Mailing Address - Country:US
Mailing Address - Phone:786-963-0128
Mailing Address - Fax:
Practice Address - Street 1:2100 CORAL WAY STE 502
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2657
Practice Address - Country:US
Practice Address - Phone:786-963-0128
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-13
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health