| Supervention Therapy Academy Inc. | |
|
6184 W 21st Ct Hialeah FL 33016-2654 | |
| (954) 990-9800 | |
| (305) 907-5322 |
| Full Name | Supervention Therapy Academy Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 6184 W 21st Ct, Hialeah, Florida |
| Authorized Official Name and Position | Arlette Christine Parrado (LCSW) |
| Authorized Official Contact | 9549909800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supervention Therapy Academy Inc. 6184 W 21st Ct Hialeah FL 33016-2654 Ph: (954) 990-9800 | Supervention Therapy Academy Inc. 6184 W 21st Ct Hialeah FL 33016-2654 Ph: (954) 990-9800 |
| NPI Number | 1831732601 |
|---|---|
| Provider Enumeration Date | 10/23/2019 |
| Last Update Date | 10/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831732601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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