SPORTS KONNECT INC. NPI 1154956639

NPI Information

NPI: 1154956639
Provider Name: SPORTS KONNECT INC.
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
Doing Business As: SPORTS KONNECT YOUTH MOVE
Address: 2103 CORAL WAY FL 2
CORAL GABLES, FL
ZIP 33145
Phone: (786) 235-8030

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NPI Details

SPORTS KONNECT INC. is a mental health (including community mental health center) clinic center in Coral Gables, FL. SPORTS KONNECT INC. NPI is 1154956639. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sports Konnect Youth Move.

The provider's business location address is:

2103 CORAL WAY FL 2
CORAL GABLES, FL
ZIP 33145-601
Phone: (786) 235-8030

The provider's authorized official is Devin A Browne .
The authorized official title is Owner and has the following contact phone number (786) 382-3014.

The enumeration date for this NPI number is 3/5/2020 and was last updated on 3/16/2020.

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	104100000X	Social Worker				No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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: 3/30/2025

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