Organization · Type 2 NPI

Phoenix Center for Healing P.a.

Mental Health Counselor · Miami, FL

NPI number 1467609388 Active

Practice location

11060 N Kendall Dr, Suite 7
Miami, FL 33176-1272

Fax (305) 257-0040

Mailing address

14875 SW 238th St
Homestead, FL 33032-8702

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCAP 2344 (FL)
Mental Health Counselor Primary 101YM0800XMH7474 (FL)
Pastoral Counselor 101YP1600XNone listed
Clinical Neuropsychologist 103G00000XNone listed
School Psychologist 103TS0200XSS888 (FL)
Marriage & Family Therapist 106H00000XNone listed
Specialist 174400000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1467609388

Phoenix Center for Healing P.a.'s National Provider Identifier is 1467609388, issued on Aug 21, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Miami, FL. The record was last updated on Aug 21, 2008.