Organization
PURE THERAPY ONE LLC.
Active
Organization
PURE THERAPY ONE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAKIYA TAMARA DENNY (ADMINSTRATOR)
(786) 678-0789
Entity
Organization
Contact information
Practice address
8950 SW 152ND ST, PALMETTO BAY, FL 33157-2064
(786) 678-0789
(786) 732-6091
Mailing address
8950 SW 152ND ST UNIT R, PALMETTO BAY, FL 33157-2064
(786) 678-0789
(786) 732-6091
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
174200000X
Meals Provider
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
09/10/2021
Last updated
04/15/2024
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