Individual
JORGE D GOMEZ CHIANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6256 SW 136TH CT APT E105, MIAMI, FL 33183-5037
(786) 805-1897
Mailing address
6256 SW 136TH CT APT E105, MIAMI, FL 33183-5037
(786) 805-1897
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMH27926
FL
104100000X
Social Worker
Primary
CBHCMS0101215
FL
171M00000X
Case Manager/Care Coordinator
CBHCMS.0101215
FL
251B00000X
Case Management Agency
CBHCMS0101215
FL
Other
Enumeration date
05/25/2018
Last updated
05/12/2026
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