Organization
AHAVA & SHALOM FAMILY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA T SERRA (CEO)
(305) 776-6118
Entity
Organization
Contact information
Practice address
8833 NW 107TH ST, HIALEAH GARDENS, FL 33018-4506
(305) 776-6118
Mailing address
19182 NW 82ND CIRCLE CT, HIALEAH, FL 33015-5362
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014308200
—
FL
Enumeration date
07/17/2018
Last updated
07/17/2018
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