Organization
ACADEMIA BEHAVIORAL CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODRIGO J. LOZANO LCSW (EXECUTIVE DIRECTOR)
(786) 991-7085
Entity
Organization
Contact information
Practice address
7485 FAIRWAY DR, MIAMI LAKES, FL 33014-7822
(786) 991-7085
Mailing address
6923 W 25TH CT, HIALEAH, FL 33016-5463
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
SW13005
FL
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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