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Organization
HERA HEALTH MEDICAL SERVICES PA
Active
Organization
HERA HEALTH MEDICAL SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD BRENNER (AUTHORIZED OFFICIAL)
(415) 305-8715
Entity
Organization
Contact information
Practice address
390 NE 191ST ST # 8734, MIAMI, FL 33179-3899
(415) 305-8715
Mailing address
390 NE 191ST ST # 8734, MIAMI, FL 33179-3899
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
NULL
103G00000X
Clinical Neuropsychologist
—
—
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
NULL
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
NULL
103TF0000X
Family Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
NULL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
—
NULL
106S00000X
Behavior Technician
—
—
171400000X
Health & Wellness Coach
—
NULL
171400000X
Health & Wellness Coach
—
—
2084P0005X
Neurodevelopmental Disabilities Physician
—
NULL
2084P0005X
Neurodevelopmental Disabilities Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
—
NULL
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
12/04/2024
Last updated
12/10/2024
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