Healthcare Provider Details

I. General information

NPI: 1114836434
Provider Name (Legal Business Name): H&M CHILDRENS BEHAVIORAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10675 SW 190TH ST STE 1202
CUTLER BAY FL
33157-7712
US

IV. Provider business mailing address

10675 SW 190TH ST STE 1202
CUTLER BAY FL
33157-7712
US

V. Phone/Fax

Practice location:
  • Phone: 786-909-1980
  • Fax:
Mailing address:
  • Phone: 786-909-1980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA LORIE
Title or Position: PRESIDENT
Credential: BCBA
Phone: 786-909-1980