PHOENIX CENTER FOR HEALING P.A. NPI 1467609388

NPI Information

NPI: 1467609388
Provider Name: PHOENIX CENTER FOR HEALING P.A.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
11060 N KENDALL DR
SUITE 7
MIAMI, FL
ZIP 33176
Phone: (305) 345-3498
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PHOENIX CENTER FOR HEALING P.A. is a mental health counselor in Miami, FL. PHOENIX CENTER FOR HEALING P.A. NPI is 1467609388. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11060 N KENDALL DR
SUITE 7
MIAMI, FL
ZIP 33176-272
Phone: (305) 345-3498
Fax: (305) 257-0040

The provider's authorized official is Robert Hafner .
The authorized official title is Register Agent Florida Corp and has the following contact phone number (786) 236-7927.

The enumeration date for this NPI number is 8/21/2008 and was last updated on 8/21/2008.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CAP 2344	FLORIDA	No
2	101YP1600X	Counselor	Pastoral			No
3	103G00000X	Clinical Neuropsychologist				No
4	103TS0200X	Psychologist	School	SS888	FLORIDA	No
5	106H00000X	Marriage & Family Therapist				No
6	174400000X	Specialist				No
7	101YM0800X	Counselor	Mental Health	MH7474	FLORIDA	Yes

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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