Intent Therapy Llc | |
6001 Nw 153rd St 157 Miami Lakes FL 33014-2419 | |
(786) 423-4612 | |
Not Available |
Full Name | Intent Therapy Llc |
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Speciality | Community/behavioral Health |
Location | 6001 Nw 153rd St, Miami Lakes, Florida |
Authorized Official Name and Position | Maylin Batista (CLINICAL DIRECTOR) |
Authorized Official Contact | 7864234612 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Intent Therapy Llc 6001 Nw 153rd St 157 Miami Lakes FL 33014-2419 Ph: (786) 423-4612 | Intent Therapy Llc 6001 Nw 153rd St 157 Miami Lakes FL 33014-2419 Ph: (786) 423-4612 |
NPI Number | 1790061570 |
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Provider Enumeration Date | 10/25/2011 |
Last Update Date | 03/10/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790061570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | MH10092 (Florida) | Primary |
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