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Organization
TRANSFORMING MINDS AND LIVES BEHAVIORAL RESOURCES
Active
Organization
TRANSFORMING MINDS AND LIVES BEHAVIORAL RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHONIA THEOC (MANAGER)
(786) 644-5248
Entity
Organization
Contact information
Practice address
3930 NW 167TH ST, MIAMI GARDENS, FL 33054-6240
(786) 644-5248
Mailing address
3930 NW 167TH ST, MIAMI GARDENS, FL 33054-6240
(786) 644-5248
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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