Organization
CENTER FOR SELF EMPOWERMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CIBELES HERNANDEZ PHD (PSYCHOLOGIST)
(305) 567-1155
Entity
Organization
Contact information
Practice address
3400 CORAL WAY STE 402, MIAMI, FL 33145-3053
(305) 567-1155
Mailing address
3400 CORAL WAY STE 402, MIAMI, FL 33145-3053
(305) 567-1155
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PY3408
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75538Z
—
FL
05
—
K5735
—
FL
Enumeration date
05/06/2009
Last updated
05/06/2009
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