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THERAPEUTIC ALLIANCE COMMUNITY MENTAL HEALTH CENTER INC NPI 1447295761


NPI Information

NPI: 1447295761
Provider Name: THERAPEUTIC ALLIANCE COMMUNITY MENTAL HEALTH CENTER INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
6405 NW 36TH ST
SUITE 100
VIRGINIA GARDENS, FL
ZIP 33166
Phone: (305) 871-3131
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THERAPEUTIC ALLIANCE COMMUNITY MENTAL HEALTH CENTER INC is a mental health (including community mental health center) clinic center in Virginia Gardens, FL. THERAPEUTIC ALLIANCE COMMUNITY MENTAL HEALTH CENTER INC NPI is 1447295761. The provider is registered as an organization entity type.

The provider's business location address is:

6405 NW 36TH ST
SUITE 100
VIRGINIA GARDENS, FL
ZIP 33166-974
Phone: (305) 871-3131
Fax: (305) 871-2727

The provider's authorized official is Dayra L Bodan .
The authorized official title is President and has the following contact phone number (305) 871-3131.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 3/24/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)HCC7230FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AD431OTHERFLORIDAPTAN
2104700MEDICARE OSCAR/CERTIFICATIONFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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