Organization
SYNERGY WELLNESS CENTERS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICKA P CARDOSO MS (CEO)
(786) 255-0613
Entity
Organization
Contact information
Practice address
17340 NW 27TH AVE, MIAMI GARDENS, FL 33056-4065
(786) 255-0613
Mailing address
17340 NW 27TH AVE, MIAMI GARDENS, FL 33056-4065
(786) 953-6414
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1047931
DCF IOP
FL
01
—
1047932
DCF OP
FL
05
—
105810500
—
FL
01
—
12796
ACHA
FL
Enumeration date
03/11/2020
Last updated
10/05/2023
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