Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
THERAPEUTIC ALLIANCE COMMUNITY MENTAL HEALTH CENTER INC
Active
Organization
THERAPEUTIC ALLIANCE COMMUNITY MENTAL HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAYRA L BODAN PSY D (PRESIDENT)
(305) 871-3131
Entity
Organization
Contact information
Practice address
6405 NW 36TH ST, SUITE 100, VIRGINIA GARDENS, FL 33166-6974
(305) 871-3131
(305) 871-2727
Mailing address
6405 NW 36TH ST, SUITE 100, VIRGINIA GARDENS, FL 33166-6974
(305) 871-3131
(305) 871-2727
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
HCC7230
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AD431
PTAN
FL
Enumeration date
06/19/2006
Last updated
03/24/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up