Healthcare Provider Details

I. General information

NPI: 1881127082
Provider Name (Legal Business Name): AMAS BEHAVIOR SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2017
Last Update Date: 09/27/2022
Certification Date: 09/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3232 CORAL WAY APT 202
CORAL GABLES FL
33145-3185
US

IV. Provider business mailing address

3232 CORAL WAY APT 202
CORAL GABLES FL
33145-3185
US

V. Phone/Fax

Practice location:
  • Phone: 305-794-1623
  • Fax: 305-742-2189
Mailing address:
  • Phone: 305-794-1623
  • Fax: 305-742-2189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH10137
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMT2438
License Number StateFL

VIII. Authorized Official

Name: AMADA TRO
Title or Position: OWNER
Credential: MS PSYCHOLOGY
Phone: 305-794-1623