# SUPERVENTION THERAPY ACADEMY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831732601
- **Authorized official:** MS. ARLETTE CHRISTINE PARRADO ED.D (LCSW)
- **Authorized official phone:** (954) 990-9800

## Contact information

- **Practice address:** 6184 W 21ST CT, HIALEAH, FL 33016-2654
- **Practice address phone:** (954) 990-9800
- **Practice address fax:** (305) 907-5322
- **Mailing address:** 6184 W 21ST CT, HIALEAH, FL 33016-2654
- **Mailing address phone:** (954) 990-9800
- **Mailing address fax:** (305) 907-5322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/23/2019
- **Last updated:** 10/23/2019