FULL POTENTIAL MANAGEMENT, LLC (NPI# 1912402256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912402256 |
| Entity Type | Organization |
| Organization Name | FULL POTENTIAL MANAGEMENT, LLC |
| Other Organization Name | ACORN HEALTH |
| Practice Address |
121 Alhambra Plz Ste 1100 Coral Gables FL 33134-4522 |
| Practice Telephone | 3054765177 |
| Practice Fax Number | 3054614999 |
| Mailing Telephone | 3054765177 |
| Mailing Fax Number | 3054614999 |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-03-28 |
| Authorized Official Name | MS. VICKI KROVIAK (DIRECTOR) |
| Authorized Official Telephone | 3054765177 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Acorn Health | Doing Business As Name - Organization |
| Street Address |
121 ALHAMBRA PLZ STE 1100 |
| City | CORAL GABLES |
| State | FL |
| Zip Code | 33134-4522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179794 | Aubree Udell | Behavior Technician | 1500 Douglas Rd., Suite 230, Coral Gables, FL 33134 | 2020-06-23 |
| 1346880481 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 1906 Ponce De Leon Boulvard, Coral Gables, FL 33134 | 2020-01-07 |
| 1306494406 | Giselle Gutierrez | Dermatology | 401 Coral Way, Suite 207, 401 Coral Way Suite 207, Coral Gables, FL 33134 | 2019-09-01 |
| 1376190363 | Jessica Fishel | Behavior Technician | 1500 Douglas Rd., Suite 230, Coral Gables, FL 33134 | 2019-08-23 |
| 1962057380 | Ariel Betancourt | Behavior Technician | 3905 West Flagler St, Apt# 6, Miami, FL 33134 | 2019-08-02 |
| 1023662574 | April Gonzalez | Physical Therapy Assistant | 1500 Dougla Rd, Coral Gables, FL 33134 | 2019-08-01 |
| 1255999678 | Arturo Corces Md Pa | Orthopaedic Surgery | 747 Ponce Deleon Blvd, Ste 505, Coral Gables, FL 33134 | 2019-05-31 |
| 1386200673 | Life Bridge Community Center | Case Management | 5246 Sw 8th St Ste 205c, Miami, FL 33134 | 2019-05-13 |
| 1083187884 | Sun Health Care Inc | Clinic/Center | 3990 West Flagler Street, Suite 406, Miami, FL 33134 | 2019-01-04 |
| 1902389471 | Jamie Lynn Innis | Physician Assistant | 314 Romano Ave, Coral Gables, FL 33134 | 2018-09-11 |
| Find all providers in zip 33134 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114536810 | Higher Limit Medical Center Corp | Clinic/Center | 747 Ponce De Leon Blvd Ste 303, Coral Gables, FL 33134-2072 | 2020-07-28 |
| 1558918623 | Authentic Self Counseling Group, LLC | Clinic/Center | 3150 Sw 38th Ave Ste 1320-a, Coral Gables, FL 33146-1531 | 2019-08-22 |
| 1225452634 | Intrinsic Health Center, Inc. | Clinic/Center | 2103 Sw 22nd St, Ste. 110, Coral Gables, FL 33145-2601 | 2014-02-06 |
| 1740492198 | United Mental Health Center Inc | Clinic/Center | 4742 W Flagler St, Coral Gables, FL 33134-1452 | 2007-05-05 |
| 1497884878 | Counseling & Hypnosis Associates | Clinic/Center | 3119 Coral Way, Suite 200, Coral Gables, FL 33145-3209 | 2007-03-03 |
| 1689621112 | Family, Adult & Child Enrichment Services, Inc. | Clinic/Center | 3001 Ponce De Leon Blvd, Suite 102, Coral Gables, FL 33134-6824 | 2006-05-29 |
| 1457319451 | Miami Behavioral Health Center Inc | Clinic/Center | 3850 W Flagler St, Coral Gables, FL 33134-1604 | 2006-05-02 |
| 1932665510 | Healchoice Corp | Clinic/Center | 3970 W Flagler St, Coral Gables, FL 33134-1642 | 2019-02-19 |
| 1558747964 | Raquel Valdivia, Lmhc, Pa | Clinic/Center | 2100 Ponce De Leon Blvd, Suite 1015, Coral Gables, FL 33134-5215 | 2015-08-07 |
| 1790189405 | Dln Behavioral, Inc. | Clinic/Center | 2100 Ponce De Leon Blvd Ste 1015, Coral Gables, FL 33134-5240 | 2014-10-09 |
| Find all providers in CORAL GABLES | ||||
| City | CORAL GABLES |
| Zip Code | 33134 |
Please comment or provide details below to improve the information on FULL POTENTIAL MANAGEMENT, LLC.
| 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.