Organization
PSYCHOLOGICAL AWAKENINGS P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ISABEL M PEREZ EDS, LMHC (PRESIDENT)
(305) 505-3714
Entity
Organization
Contact information
Practice address
9700 SW 24 ST, MIAMI, FL 33165
(305) 505-3714
Mailing address
P.O. BOX 557924, MIAMI, FL 33155
(305) 505-3714
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH9815
FL
251S00000X
Community/Behavioral Health Agency
SS708
FL
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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