Organization
305 PSYCHOTHERAPY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HOUSTON LCSW (OWNER)
(305) 859-1272
Entity
Organization
Contact information
Practice address
1655 NE 115TH ST APT 39B, MIAMI, FL 33181-3164
(305) 859-1272
Mailing address
1655 NE 115TH ST APT 39B, MIAMI, FL 33181-3164
(305) 859-1272
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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