Miami Beach Behavioral Health LLC
Psychologist, Group Psychotherapy in Miami Beach, FL. Organization (NPI-2).
NPI number1689299703
StatusActive
Last updated in NPPESJun 15, 2020
Details
- NPI
- 1689299703
- Entity type
- Organization (NPI-2)
- Legal business name
- Miami Beach Behavioral Health LLC
- Organization subpart
- No
- Enumeration date
- Jun 15, 2020
- Certification date
- Jun 15, 2020
- Last updated
- Jun 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TP2701X | Psychologist, Group Psychotherapy | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – |
Practice location
1354 Washington Ave Ste 221Miami Beach, FL 33139-4203
Phone 305-766-8064 · Fax 305-899-5165
Mailing address
1354 Washington Ave Ste 221Miami Beach, FL 33139-4203
Phone 305-766-8064 · Fax 305-899-5165
Authorized official
Olga Ccastro
Owner
3057668064
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