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Organization
INVICTUS BEHAVIORAL HEALTH, LLC
Active
Organization
INVICTUS BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIEUNANE FORMUL LCSW (OWNER)
(954) 601-3445
Entity
Organization
Contact information
Practice address
9425 SW 72ND ST STE 267, MIAMI, FL 33173-5457
(954) 601-3445
Mailing address
2413 MAIN ST STE 558, MIRAMAR, FL 33025-7809
(954) 601-3445
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023259058
NPI
—
Enumeration date
10/23/2020
Last updated
12/13/2024
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