Melannie Bannerman
Clinic/Center, Mental Health (Including Community Mental Health Center) in Miami, FL. Individual provider (NPI-1).
NPI number1962017376
StatusActive
Last updated in NPPESOct 8, 2020
Details
- NPI
- 1962017376
- Entity type
- Individual (NPI-1)
- Name
- Melannie Bannerman
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 11, 2020
- Certification date
- Oct 8, 2020
- Last updated
- Oct 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
1951 Nw 7th Ave Ste 300Miami, FL 33136-1112
Phone 305-902-6347
Mailing address
1951 Nw 7th Ave Ste 300Miami, FL 33136-1112
Phone 305-902-6347
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