SYNERGY WELLNESS CENTERS CORP NPI 1164057907

NPI Information

NPI: 1164057907
Provider Name: SYNERGY WELLNESS CENTERS CORP
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

CLIA Number: 10D2238881

Address:
17340 NW 27TH AVE
MIAMI GARDENS, FL
ZIP 33056
Phone: (786) 255-0613
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SYNERGY WELLNESS CENTERS CORP is an addiction (substance use disorder) counselor in Miami Gardens, FL. SYNERGY WELLNESS CENTERS CORP NPI is 1164057907. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17340 NW 27TH AVE
MIAMI GARDENS, FL
ZIP 33056-065
Phone: (786) 255-0613

The provider's authorized official is Ericka P Cardoso .
The authorized official title is Ceo and has the following contact phone number (786) 255-0613.

The CLIA number assigned to this NPI record is 10D2238881 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/11/2020 and was last updated on 10/5/2023.

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	Primary
1	101YM0800X	Counselor	Mental Health	No
2	251B00000X	Case Management		No
3	251S00000X	Community/Behavioral Health		No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
5	324500000X	Substance Abuse Rehabilitation Facility		No
6	101YA0400X	Counselor	Addiction (Substance Use Disorder)	Yes

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	12796	OTHER	FLORIDA	ACHA
2	1047931	OTHER	FLORIDA	DCF IOP
3	1047932	OTHER	FLORIDA	DCF OP
4	105810500	MEDICAID	FLORIDA

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

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