Organization
MY ROOTS OF LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VILMA GARRIDO RIQUENES LMHC (LICENSE MENTAL HEALTH COUNSELOR)
(786) 234-1609
Entity
Organization
Contact information
Practice address
12863 SW 42ND ST, MIAMI, FL 33175-3434
(786) 234-1609
Mailing address
17025 NW 52ND PL, MIAMI GARDENS, FL 33055-4018
(786) 234-1609
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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