Organization
MY ROOTS OF LIFE
Active
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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