Organization
BRAINARD W. HINES, PHD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAINARD HINES PHD (PRESIDENT)
(305) 663-0013
Entity
Organization
Contact information
Practice address
5001 SW 74TH CT, MIAMI, FL 33155-4483
(305) 663-0013
(305) 675-9254
Mailing address
PO BOX 565508, MIAMI, FL 33256-5508
(305) 663-0013
(305) 675-9254
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LMHC612
FL
Other
Enumeration date
07/30/2011
Last updated
07/30/2011
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