Healthcare Provider Details

I. General information

NPI: 1508693193
Provider Name (Legal Business Name): BELOVED ATTUNEMENT MARRIAGE AND FAMILY THERAPY PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2024
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20295 NE 29TH PL STE 201
AVENTURA FL
33180-4109
US

IV. Provider business mailing address

20295 NE 29TH PL STE 201
AVENTURA FL
33180-4109
US

V. Phone/Fax

Practice location:
  • Phone: 415-789-8118
  • Fax:
Mailing address:
  • Phone: 415-789-8118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PNINA SHAMSI
Title or Position: DIRECTOR
Credential:
Phone: 617-593-4170