MILLENIUM CLINIC OF DADE INC NPI 1861843047

NPI Information

NPI: 1861843047
Provider Name: MILLENIUM CLINIC OF DADE, INC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 10D2157147

Address:
500 NW 165TH ST
STE 206
MIAMI, FL
ZIP 33169
Phone: (786) 657-2272
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MILLENIUM CLINIC OF DADE, INC is a mental health counselor in Miami, FL. MILLENIUM CLINIC OF DADE, INC NPI is 1861843047. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

500 NW 165TH ST
STE 206
MIAMI, FL
ZIP 33169-306
Phone: (786) 657-2272

The provider's authorized official is Kimberly Lynn Roberts .
The authorized official title is Group Facilitator and has the following contact phone number (718) 785-6367.

The CLIA number assigned to this NPI record is 10D2157147 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/28/2016 and was last updated on 6/28/2016.

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			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

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