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Organization
MIAMI LAKES BEHAVIORAL SERVICES CORP
Active
Organization
MIAMI LAKES BEHAVIORAL SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYLIN BATISTA PH.D , LMHC (PRESIDENT/CLINICAL DIRECTOR)
(786) 423-4612
Entity
Organization
Contact information
Practice address
6001 NW 153RD ST STE 157, MIAMI LAKES, FL 33014-2447
(786) 907-4921
Mailing address
6001 NW 153RD ST STE 157, MIAMI LAKES, FL 33014-2447
(786) 907-4921
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH10092
FL
103K00000X
Behavior Analyst
Primary
MH10092
FL
251S00000X
Community/Behavioral Health Agency
MH10092
FL
252Y00000X
Early Intervention Provider Agency
MH10092
FL
Other
Enumeration date
01/03/2018
Last updated
06/16/2018
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