Organization
BEHAVIORAL MOMENTUM OF MIAMI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYKEL RAUL MATEO LCSW (PRESIDENT)
(786) 390-1855
Entity
Organization
Contact information
Practice address
10561 SW 122ND CT, MIAMI, FL 33186-3632
(305) 775-2489
Mailing address
10561 SW 122ND CT, MIAMI, FL 33186-3632
(305) 775-2489
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
10/21/2021
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