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FENIX WELLNESS COMMUNITY FOUNDATION, LLC
NPI 1003626805
Clinic/Center - Mental Health (Including Community Mental Health Center) in Miami, FL

Active since January 13, 2025CLIA Certified · 2 labs
15190 SW 136TH ST STE 26, MIAMI, FL 33196(786) 404-1008 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fenix Wellness Community Foundation, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FENIX WELLNESS COMMUNITY FOUNDATION, LLC (NPI 1003626805) is a healthcare organization registered as a mental health (including community mental health center) in Miami, Florida and active in the NPI registry since January 2025. The organization holds 2 active CLIA laboratory certificates and lists Adanys Alonso-alfonso, Vp, as its authorized official.

NPPES Registry Identity

NPI1003626805
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameFENIX WELLNESS COMMUNITY FOUNDATION, LLC
Location Address15190 SW 136TH ST STE 26Miami, FL 33196-2618
Mailing Address15190 Sw 136th St Ste 26Miami, FL 33196-2618 · (786) 404-1008
Phone(786) 404-1008
Organization SubpartNo
Authorized OfficialAdanys Alonso-alfonsoVp · (305) 469-1722
Enumeration DateJanuary 13, 2025
NPPES CertifiedJanuary 12, 2025
✔ NPI 1003626805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
15190 SW 136TH ST STE 26, Miami, FL 33196
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2321023

Fenix Wellness LLC · Palmetto Bay, FL
Active · expires Mar 26, 2027
CLIA Number10D2321023
Laboratory TypePhysician Office
Certificate Effective DateMarch 27, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorEric Torres
Laboratory Phone(786) 404-1008
Laboratory LocationFenix Wellness LLC9855 E Fern Street, Palmetto Bay, FL 33157
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2317572

Fenix Wellness · Miami, FL
Active · expires Jan 27, 2027
CLIA Number10D2317572
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2025
Certificate Expiration DateJanuary 27, 2027
Laboratory DirectorEric Torres
Laboratory Phone(786) 404-1008
Laboratory LocationFenix Wellness15190 SW 136th Street Suite 27, Miami, FL 33196
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENICE RIVERO
Behavior Technician
15190 SW 136TH ST STE 26
MIAMI, FL 33196
Miami-Dade County (305) 503-6723
DIANA CABRERA GARCIA
Behavior Technician
15190 SW 136TH ST STE 26
MIAMI, FL 33196
Miami-Dade County (786) 701-3109
MARVELIS MAYO OCANA
Behavior Technician
15190 SW 136TH ST STE 26
MIAMI, FL 33196
Miami-Dade County (786) 710-5025
SPE LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
15190 SW 136TH ST STE 26
MIAMI, FL 33196
Miami-Dade County (786) 419-6048

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fenix Wellness Community Foundation, LLC's NPI number?

The NPI number for Fenix Wellness Community Foundation, LLC is 1003626805. It was assigned to this organization in the NPPES registry on January 13, 2025.

Where is Fenix Wellness Community Foundation, LLC located?

Fenix Wellness Community Foundation, LLC is located at 15190 SW 136th St Ste 26, Miami, FL 33196. The listed phone number is (786) 404-1008.

What is Fenix Wellness Community Foundation, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Fenix Wellness Community Foundation, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Fenix Wellness Community Foundation, LLC was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.