Miami Psychological Center PA
Counselor, Mental Health in Boca Raton, FL. Organization (NPI-2).
NPI number1982107538
StatusActive
Last updated in NPPESJan 6, 2021
Details
- NPI
- 1982107538
- Entity type
- Organization (NPI-2)
- Legal business name
- Miami Psychological Center PA
- Organization subpart
- No
- Enumeration date
- Mar 9, 2018
- Certification date
- Jan 6, 2021
- Last updated
- Jan 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
1200 N Federal Hwy Ste 200Boca Raton, FL 33432-2813
Phone 305-721-3128
Mailing address
9796 Nw 51st TerDoral, FL 33178-1910
Other practice locations
8200 Nw 41st St Ste 200
Doral, FL 33166-6204
Doral, FL 33166-6204
Phone 786-229-6589
Authorized official
Jaqueline Pardillo
Owner
7862296589
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