INNER CITY DANCE CLUB OF MIAMI CORPORATION (NPI# 1538707252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538707252 |
| Entity Type | Organization |
| Organization Name | INNER CITY DANCE CLUB OF MIAMI CORPORATION |
| Practice Address |
6161 Nw 9th Ave Miami FL 33127-1013 |
| Mailing Address |
1290 Nw 84th Ter Miami FL 33147-4336 |
| Practice Telephone | 3057265075 |
| Mailing Telephone | 3057265075 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |
| Authorized Official Name | LATRICE MONIQUE HILL (CEO) |
| Authorized Official Telephone | 3057265075 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225600000X | Dance Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INNER CITY DANCE CLUB OF MIAMI CORPORATION | 1290 Nw 84th Terr, Miami, FL 33147-4336 |
| Street Address |
6161 NW 9TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33127-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609410950 | Johana Correa | Behavior Technician | 3360 Nw 11th Pl Apt 103, Miami, FL 33127 | 2019-10-30 |
| 1639728827 | Sanctuary Therapeutic Counseling Services | Social Worker | 3246 N. Miami Avenue Suite A, #370585, Miami, FL 33127 | 2019-09-10 |
| 1811545825 | William M. Colson IIi | Technician | 5601 Nw 2nd Ave., 702, Miami, FL 33127 | 2019-09-03 |
| 1932613064 | Jose Luis Erice Lafont | Behavioral Analyst | 5715 Nw 2nd Ave Apt 806, Miami, FL 33127 | 2017-11-28 |
| 1134631658 | Ania Diaz | Behavior Technician | 2525 Nw 10th Ave Apt 206, Miami, FL 33127 | 2017-10-25 |
| 1891212056 | Amonise Creed | Massage Therapist | 94 Nw 50 Street, Miami, FL 33127 | 2017-08-28 |
| 1912423237 | Rakevia Lakeisha Mcknight | Lactation Consultant, Non-RN | 740 Nw 31st Street, Miami, FL 33127 | 2017-08-17 |
| 1902252380 | Las Palmas Alf, Corp | Assisted Living Facility | 1170 N.w. 26 St., Miami, FL 33127 | 2016-05-04 |
| 1861861668 | Borinquen Health Care Center Inc | Clinic/Center | 6161 Nw 5 Court, Miami Edison Senior High, Miami, FL 33127 | 2015-09-22 |
| 1225407026 | Borinquen Health Care Center Inc | Clinic/Center | 6101 Nw 2 Avenue, Itech @ Thomas A. Edison High, Miami, FL 33127 | 2015-09-22 |
| Find all providers in zip 33127 | ||||
| Taxonomy Code | 225600000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Dance Therapist |
| The dance therapist, sometimes called a movement therapist, focuses on rhythmic body movements as a medium of physical and psychological change. Dance therapy is practiced more often with mental health patients than with physically disabled patients. A master’s degree is required by the American Dance Therapy Association to award the credentials Dance Therapist Registered (DTR). |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578836334 | Shira Beth Baumgard | Dance Therapist | 7900 Red Road, Suite 24, Miami, FL 33143 | 2012-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043828007 | Anne M Holmes | Dance Therapist | 8923 Manor Loop Apt 101, Lakewood Ranch, FL 34202-3826 | 2020-07-16 |
| 1699271700 | Florida Dancer's Gallery | Dance Therapist | 12323 Sw 55th St Ste 1010, Cooper City, FL 33330-3312 | 2018-04-05 |
| 1881190569 | Ana Zabaleta | Dance Therapist | 582 Sw Saint Johns Bay, Port Saint Lucie, FL 34986-3410 | 2018-04-02 |
| 1184134710 | Shera Anice Sherman | Dance Therapist | 811 Nw 55th Ter, Gainesville, FL 32605-4485 | 2017-10-10 |
| 1649598582 | Niki Lin Lundquist | Dance Therapist | 4190 S Kirkman Rd, Apt. 909, Orlando, FL 32811-2854 | 2010-05-15 |
| 1790328847 | Brittni Cleland | Dance Therapist | 619 S Marion Ave, Lake City, FL 32025-5808 | 2019-10-22 |
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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.