Organization
DTT COACHING SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMARYS CLEMENT (DIRECTOR)
(786) 701-2401
Entity
Organization
Contact information
Practice address
6151 MIRAMAR PKWY STE 206, MIRAMAR, FL 33023-3973
(786) 701-2401
(305) 397-1287
Mailing address
9745 SW 184TH ST, PALMETTO BAY, FL 33157-6932
(786) 701-2401
(305) 397-1287
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013416001
—
FL
Enumeration date
07/21/2021
Last updated
07/21/2021
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