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Organization
PIVOTAL THERAPY, LLC
Active
Organization
PIVOTAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMERICA CONDE M.S., BCBA (CEO/EXECUTIVE CLINICAL DIRECTOR)
(305) 707-1600
Entity
Organization
Contact information
Practice address
3081 SALZEDO ST STE 202, CORAL GABLES, FL 33134-6725
(305) 707-1600
Mailing address
5810 SW 14TH ST, WEST MIAMI, FL 33144-5712
(305) 878-6913
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024870700
—
FL
05
—
115186700
—
FL
05
—
115187000
—
FL
Enumeration date
09/13/2020
Last updated
12/06/2022
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