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NIRVANA CLINIC CENTER LLC NPI 1811357122


NPI Information

NPI: 1811357122
Provider Name: NIRVANA CLINIC CENTER LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 10D2119906

Address:
8765 SW 165TH AVE STE 105
MIAMI, FL
ZIP 33193
Phone: (786) 577-0024
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NIRVANA CLINIC CENTER LLC is a community behavioral health in Miami, FL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. NIRVANA CLINIC CENTER LLC NPI is 1811357122. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8765 SW 165TH AVE STE 105
MIAMI, FL
ZIP 33193-832
Phone: (786) 577-0024
Fax: (786) 773-2234

The provider's authorized official is Daniela Manno .
The authorized official title is Director and has the following contact phone number (786) 577-0024.

The CLIA number assigned to this NPI record is 10D2119906 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/29/2016 and was last updated on 11/29/2021.


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
1207Q00000XFamily MedicineNo
2251B00000XCase ManagementNo
3251S00000XCommunity/Behavioral HealthYes

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

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.