Organization
PSYCHODYNANIC CONSULTING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STELLA RADA M.S., L.M.H.C. (DIRECTOR)
(305) 801-7232
Entity
Organization
Contact information
Practice address
2645 EXECUTIVE PARK DR, SUITE 140, WESTON, FL 33331-3624
(305) 801-7232
Mailing address
19420 SW 30TH ST, MIRAMAR, FL 33029-5809
(305) 801-7232
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
MH7484
FL
Other
Enumeration date
12/16/2007
Last updated
12/31/2007
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