Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Axial Medical Center, Inc

Organization Mental Health Counselor · NPI 1720540214

Axial Medical Center, Inc is a Mental Health Counselor in Miami Lakes, Florida. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5190 NW 167th St Ste 306
Miami Lakes, FL 33014-6338
Phone: (305) 627-5557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Psychologist Taxonomy 103T00000X
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1720540214
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wendy Pelegrin — Administrator · (305) 627-5557
NPI enumeratedApril 3, 2019
Last updated in NPPESMarch 11, 2020
Certification dateMarch 11, 2020
Mailing address5190 Nw 167th St Ste 306, Miami Lakes, FL 33014-6338

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