| Institute For Family Therapy Inc | |
|
6175 Nw 153rd St Suite 404 Miami Lakes FL 33014-2435 | |
| (305) 558-7400 | |
| (305) 558-6134 |
| Full Name | Institute For Family Therapy Inc |
|---|---|
| Speciality | Social Worker |
| Location | 6175 Nw 153rd St, Miami Lakes, Florida |
| Authorized Official Name and Position | Benjamin Mirtenbaum (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3055587400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute For Family Therapy Inc 6175 Nw 153rd St Suite 404 Miami Lakes FL 33014-2435 Ph: (305) 558-7400 | Institute For Family Therapy Inc 6175 Nw 153rd St Suite 404 Miami Lakes FL 33014-2435 Ph: (305) 558-7400 |
| NPI Number | 1407837743 |
|---|---|
| Provider Enumeration Date | 11/11/2005 |
| Last Update Date | 01/30/2012 |
| Medicare PECOS PAC ID | 8123284759 |
|---|---|
| Medicare Enrollment ID | O20120725000586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407837743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW1677 (Florida) | Primary |
| Provider Name | Anna Rzadkowolsky-raoli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215039599 PECOS PAC ID: 7113175944 Enrollment ID: I20120919000544 |
| Provider Name | Daniel S Mirtenbaum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649799073 PECOS PAC ID: 7810253010 Enrollment ID: I20171103000698 |
| Provider Name | Lynn R Spinner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063470797 PECOS PAC ID: 4486810017 Enrollment ID: I20190320003035 |
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