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Organization
PATHWAVES INCORPORATED
Active
Organization
PATHWAVES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN PAUL LANDAU LMHC (ASSISTANT CLINICAL DIRECTOR)
(305) 858-6616
Entity
Organization
Contact information
Practice address
2503 SOUTHWEST 27 AVENUE, MIAMI, FL 33133
(305) 858-6616
Mailing address
2503 SW 27TH AVE, MIAMI, FL 33133-2119
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH9225
FL
Other
Enumeration date
06/21/2017
Last updated
07/19/2017
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