Organization
SELENITE ENTERPRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVANNE JOSEPH LMHC (THERAPIST)
(786) 531-2340
Entity
Organization
Contact information
Practice address
1200 BRICKELL AVE STE 1950, MIAMI, FL 33131-3298
(407) 584-7375
Mailing address
51 NW 190TH ST, MIAMI, FL 33169-4026
(786) 531-2340
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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