COBRE BEHAVIORAL & HEALTH CLINIC CORPORATION NPI 1003911462

NPI Information

NPI: 1003911462
Provider Name: COBRE BEHAVIORAL & HEALTH CLINIC CORPORATION
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
306 N.W. 27TH AVE
MIAMI, FL
ZIP 33125
Phone: (786) 394-8888
Get Directions

COBRE BEHAVIORAL & HEALTH CLINIC CORPORATION is a mental health counselor in Miami, FL. COBRE BEHAVIORAL & HEALTH CLINIC CORPORATION NPI is 1003911462. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

306 N.W. 27TH AVE
MIAMI, FL
ZIP 33125-031
Phone: (786) 394-8888
Fax: (786) 394-8777

The provider's authorized official is Delio Trejo .
The authorized official title is President and has the following contact phone number (786) 553-6726.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MH4008	FLORIDA	Yes
2	103G00000X	Clinical Neuropsychologist		PY5395	FLORIDA	X
3	103TC0700X	Psychologist	Clinical	PY5395	FLORIDA	X
4	103TC0700X	Psychologist	Clinical	PY7224	FLORIDA	X
5	163W00000X	Registered Nurse		RN3143962	FLORIDA	X
6	207Q00000X	Family Medicine		ME67164	FLORIDA	X
7	2084P0800X	Psychiatry & Neurology	Psychiatry	ME40304	FLORIDA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1134151483	OTHER	FLORIDA	NPI
2	1184639569	OTHER	FLORIDA	NPI
3	1932135969	OTHER	FLORIDA	NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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