Organization
PSYCHO-ANALYTIC GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HORACIO FERNANDO SCHUTT MS, LMHC (DIRECTOR)
(786) 315-0387
Entity
Organization
Contact information
Practice address
20900 NE 30TH AVE, 200-17, AVENTURA, FL 33180-2157
(786) 315-0387
Mailing address
20355 NE 34TH CT, 224, AVENTURA, FL 33180-3300
(786) 315-0387
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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