5a Therapy LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in North Miami, FL. Organization (NPI-2).
NPI number1912773359
StatusActive
Last updated in NPPESNov 28, 2023
Details
- NPI
- 1912773359
- Entity type
- Organization (NPI-2)
- Legal business name
- 5a Therapy LLC
- Organization subpart
- No
- Enumeration date
- Nov 28, 2023
- Certification date
- Nov 28, 2023
- Last updated
- Nov 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
12401 Ne 16th Ave Apt 425North Miami, FL 33161-6003
Phone 786-495-6503
Mailing address
12401 Ne 16th Ave Apt 425North Miami, FL 33161-6003
Phone 786-495-6503
Authorized official
Timothy Collins
Owner
7864956503
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