Organization
AMAS BEHAVIOR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMADA TRO MS PSYCHOLOGY (OWNER)
(305) 794-1623
Entity
Organization
Contact information
Practice address
3232 CORAL WAY APT 202, CORAL GABLES, FL 33145-3185
(305) 794-1623
(305) 742-2189
Mailing address
3232 CORAL WAY APT 202, CORAL GABLES, FL 33145-3185
(305) 794-1623
(305) 742-2189
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH10137
FL
106H00000X
Marriage & Family Therapist
MT2438
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020654400
—
FL
Enumeration date
04/05/2017
Last updated
09/27/2022
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