MEDICARE: DEVONEAR INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1003085945
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEVONEAR INC

Provider Business Mailing Address
First Line	:	950 N KROME AVE STE 405
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33030-4443
Country	:	US
Telephone Number	:	305-246-0210
Fax Number	:	305-246-0310

Provider Business Practice Location Address
First Line	:	950 N KROME AVE STE 405
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33030-4443
Country	:	US
Telephone Number	:	305-246-0210
Fax Number	:	305-246-0310

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR/SECRETARY
Name	:	MS. DEVON ROXANN HARRINGTON
Credential	:	LCSW/CAP
Telephone Number	:	754-581-6226

Provider Enumeration Date	:	02/25/2008
Last Update Date	:	05/07/2020

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Directions to “DEVONEAR INC ” Practice Location

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