| Kristi House, Inc. | |
|
1265 Nw 12th Ave Miami FL 33136-2140 | |
| (305) 547-6800 | |
| (305) 547-6848 |
| Full Name | Kristi House, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1265 Nw 12th Ave, Miami, Florida |
| Authorized Official Name and Position | Trudy Novicki (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3055476800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristi House, Inc. 1265 Nw 12th Ave Miami FL 33136-2140 Ph: (305) 547-6800 | Kristi House, Inc. 1265 Nw 12th Ave Miami FL 33136-2140 Ph: (305) 547-6800 |
| NPI Number | 1225173800 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225173800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW7994 (Florida) | Primary |
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