Organization
SHALOM PSYCHOTHERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA FERNANDEZ RICHARDSON (OWNER)
(305) 930-5690
Entity
Organization
Contact information
Practice address
7392 NW 35TH TER STE 207-208, MIAMI, FL 33122-1271
(786) 353-2347
(786) 353-2357
Mailing address
15622 SW 60TH ST, MIAMI, FL 33193-2820
(305) 930-5690
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
11/20/2024
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