MEDICARE: FAMILY CENTER FOR HEALING 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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1598355042
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY CENTER FOR HEALING INC

Provider Business Mailing Address
First Line	:	15246 SW 21ST PL
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-4384
Country	:	US
Telephone Number	:	786-486-9641
Fax Number	:

Provider Business Practice Location Address
First Line	:	6823 MIRAMAR PKWY
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33023-6002
Country	:	US
Telephone Number	:	754-201-9918
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	EUCLIDES GARCIA
Credential	:
Telephone Number	:	786-486-9641

Provider Enumeration Date	:	01/19/2021
Last Update Date	:	01/19/2021

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Directions to “FAMILY CENTER FOR HEALING INC ” Practice Location

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