Organization
INTENT THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYLIN BATISTA PH.D,LMHC ,CCS (CLINICAL DIRECTOR)
(786) 423-4612
Entity
Organization
Contact information
Practice address
6001 NW 153RD ST, 157, MIAMI LAKES, FL 33014-2419
(786) 423-4612
Mailing address
6001 NW 153RD ST, 157, MIAMI LAKES, FL 33014-2419
(786) 423-4612
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH10092
FL
Other
Enumeration date
10/25/2011
Last updated
03/10/2017
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