PHOENIX CENTER FOR HEALING P.A. (NPI# 1467609388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467609388 |
| Entity Type | Organization |
| Organization Name | PHOENIX CENTER FOR HEALING P.A. |
| Practice Address |
11060 N Kendall Dr Suite 7 Miami FL 33176-1272 |
| Mailing Address |
14875 Sw 238th St Homestead FL 33032-8702 |
| Practice Telephone | 3053453498 |
| Practice Fax Number | 3052570040 |
| Mailing Telephone | 7862367927 |
| Mailing Fax Number | 3052570040 |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-08-21 |
| Authorized Official Name | MR. ROBERT HAFNER (REGISTER AGENT FLORIDA CORP) |
| Authorized Official Telephone | 7862367927 |
| Authorized Official Credential | MENTAL HEALTH CO |
| Is Organization Subpart | Y |
| Parent Organization Name | PHOENIX CENTER FOR HEALING P.A. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CAP 2344 | FL | Behavioral Health & Social Service Providers |
| N | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103TS0200X |
Psychologist Specialization: School |
SS888 | FL | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH7474 | FL | Behavioral Health & Social Service Providers |
| Street Address |
11060 N KENDALL DR SUITE 7 |
| City | MIAMI |
| State | FL |
| Zip Code | 33176-1272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508329335 | Collette Brown | Behavioral Analyst | 11060 N Kendall Dr, Miami, FL 33176 | 2019-04-09 |
| 1205320215 | Nicolle Toledo | Behavioral Analyst | 11060 N Kendall Dr, Miami, FL 33176-1272 | 2018-06-22 |
| 1992298525 | Ketty L Valdivia | Behavioral Analyst | 11060 N Kendall Dr, Miami, FL 33176-1272 | 2018-06-08 |
| 1205327517 | Elizabeth Castro | Behavioral Analyst | 11060 N Kendall Dr, Miami, FL 33176-1272 | 2018-05-22 |
| 1841791373 | Blanca Sucely Jarquin Varela | Behavior Technician | 11060 N Kendall Dr, Miami, FL 33176-1272 | 2018-02-21 |
| 1720587074 | Justin Harmon | Behavioral Analyst | 11060 N Kendall Dr, Miami, FL 33176-1272 | 2018-02-01 |
| 1477051977 | Sabrina Jean | Behavioral Analyst | 11060 N Kendall Dr, Miami, FL 33176-1272 | 2018-01-30 |
| 1568960235 | Nicole Sandoval | Behavioral Analyst | 11060 N Kendall Dr, Miami, FL 33176-1272 | 2018-01-29 |
| 1932607694 | Francince Barrett | Behavioral Analyst | 11060 N Kendall Dr, Miami, FL 33176-1272 | 2018-01-29 |
| 1346748183 | Zugeil Jimenez | Behavioral Analyst | 11060 N Kendall Dr, Miami, FL 33176-1272 | 2018-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064162 | Majela Muse | Nurse Practitioner | 9550 Sw 92th St, Miami, FL 33176 | 2020-08-24 |
| 1104443647 | Karina G Castillo | Counselor | 14808 Sw 116th Ave, Miami, FL 33176 | 2020-07-01 |
| 1710515721 | Diana Almeida Araujo | Counselor | 11050 North Kendall Drive, Suite 102, Miami, FL 33176 | 2020-03-27 |
| 1255826285 | Rebecca Arteaga | Behavioral Analyst | 10150 Sw 88th St Apt 104, Miami, FL 33176 | 2018-06-22 |
| 1356834337 | Ag Special Therapy Services Corp | Physical Therapist | 12670 Sw 93 Place, Miami, FL 33176 | 2018-06-13 |
| 1063928562 | Dade Behavioral Services Inc | Behavioral Analyst | 10689 N Kendall Dr Ste 309, Miami, FL 33176 | 2017-12-19 |
| 1619409596 | Antonio Medina Rodriguez | Behavior Technician | 9530 Sw 93 Ct, Miami, FL 33176 | 2017-03-30 |
| 1801348552 | Suresh Rana | Specialist/Technologist, Other | 8780 Sw 88th Ave, Miami, FL 33176 | 2016-10-28 |
| 1205386794 | Orlando Sanchez | Behavior Technician | 10421 Sw 141 St Drive, Miami, FL 33176 | 2016-10-07 |
| 1073066759 | Clayton Davis | Dentist | 8940 N. Kendall Drive 604e, Miami, FL 33176 | 2016-07-28 |
| Find all providers in zip 33176 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700564 | Kristyn Delgado | Counselor | 8331 Sw 37th St, Miami, FL 33155-3305 | 2020-11-02 |
| 1164022737 | Natalia Azucena | Counselor | 10832 Sw 88th St Apt U7, Miami, FL 33176-1390 | 2020-10-31 |
| 1225638513 | Maria Emilia Espinal Fuchs | Counselor | 11434 Sw 152nd Ct, Miami, FL 33196-5215 | 2020-10-27 |
| 1083212427 | Jadira Lynette Fernandez | Counselor | 10035 Sw 80th Ter, Miami, FL 33173-4001 | 2020-10-16 |
| 1386243715 | Neelam Parmar | Counselor | 41 Se 5th St Apt 1404, Miami, FL 33131-2546 | 2020-10-16 |
| 1144837287 | Rico Counseling Corp | Counselor | 10689 Sw 88th St Ste 305, Miami, FL 33176-1525 | 2020-09-23 |
| 1386250892 | Teresa Zubizarreta | Counselor | 13253 Sw 110th Ter Apt 2, Miami, FL 33186-4394 | 2020-09-20 |
| 1255946307 | Camilla Tamargo | Counselor | 7396 Sw 53rd Pl, Miami, FL 33143-5823 | 2020-09-14 |
| 1417569500 | Isabel Galloso Diaz | Counselor | 15279 Sw 134th Ct Apt 1206, Miami, FL 33177-1181 | 2020-08-19 |
| 1821608605 | Adriana Loredo | Counselor | 2324 Sw 82nd Ct, Miami, FL 33155-1247 | 2020-08-05 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.