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Organization
PRIME PSYCHOLOGICAL SERVICES
Active
Organization
PRIME PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CARRILLO EDD, LMHC (OWNER)
(305) 562-2873
Entity
Organization
Contact information
Practice address
2000 S DIXIE HWY, SUITE 104, MIAMI, FL 33133-2456
(305) 562-2873
Mailing address
680 NE 64TH ST, SUITE A411, MIAMI, FL 33138-6208
(305) 562-2873
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH12719
FL
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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