Organization
FACE TO FACE MENTAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENIA RODRIGUEZ (MANAGER SUPERVISOR)
(305) 964-5824
Entity
Organization
Contact information
Practice address
15924 SW 92ND AVE, PALMETTO BAY, FL 33157-1842
(305) 964-5824
(786) 452-1200
Mailing address
15924 SW 92ND AVE, PALMETTO BAY, FL 33157-1842
(305) 964-5824
(786) 452-1200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103T00000X
Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
208000000X
Pediatrics Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014044100
—
FL
05
—
019137400
—
FL
Enumeration date
03/01/2014
Last updated
04/30/2026
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