| Shining Star Behavioral Services Llc | |
|
18000 Nw 2nd Ct Miami FL 33169-4306 | |
| (786) 439-5798 | |
| (305) 974-2834 |
| Full Name | Shining Star Behavioral Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 18000 Nw 2nd Ct, Miami, Florida |
| Authorized Official Name and Position | Osmanny Herrera (PRESIDENT) |
| Authorized Official Contact | 7864395798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shining Star Behavioral Services Llc 18000 Nw 2nd Ct Miami FL 33169-4306 Ph: (786) 439-5798 | Shining Star Behavioral Services Llc 18000 Nw 2nd Ct Miami FL 33169-4306 Ph: (786) 439-5798 |
| NPI Number | 1457866659 |
|---|---|
| Provider Enumeration Date | 12/11/2017 |
| Last Update Date | 12/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457866659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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