Synergy Wellness Centers Corp
Counselor, Addiction (Substance Use Disorder) in Miami Gardens, FL. Organization (NPI-2).
NPI number1164057907
StatusActive
Last updated in NPPESOct 5, 2023
Details
- NPI
- 1164057907
- Entity type
- Organization (NPI-2)
- Legal business name
- Synergy Wellness Centers Corp
- Organization subpart
- No
- Enumeration date
- Mar 11, 2020
- Certification date
- Oct 5, 2023
- Last updated
- Oct 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 251B00000X | Case Management | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | |
| 324500000X | Substance Abuse Rehabilitation Facility | – | – |
Practice location
17340 Nw 27th AveMiami Gardens, FL 33056-4065
Phone 786-255-0613
Mailing address
17340 Nw 27th AveMiami Gardens, FL 33056-4065
Phone 786-953-6414
Authorized official
Ericka P Cardoso
Ceo
7862550613
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