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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:
3778 W 12TH AVE
HIALEAH, FL
ZIP 33012
Phone: (786) 953-6414
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SYNERGY WELLNESS CENTERS CORP is an addiction (substance use disorder) counselor in Hialeah, 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:

3778 W 12TH AVE
HIALEAH, FL
ZIP 33012-126
Phone: (786) 953-6414

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 - comprehensive outpatient rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/11/2020 and was last updated on 3/4/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2251B00000XCase ManagementNo
3251S00000XCommunity/Behavioral HealthNo
4101YA0400XCounselorAddiction (Substance Use Disorder)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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.