Healthcare Provider Details

I. General information

NPI: 1033013172
Provider Name (Legal Business Name): EMERGING PASSAGES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8711 RIDGELAND DR
CUTLER BAY FL
33157-7133
US

IV. Provider business mailing address

8711 RIDGELAND DR
CUTLER BAY FL
33157-7133
US

V. Phone/Fax

Practice location:
  • Phone: 754-444-7432
  • Fax:
Mailing address:
  • Phone: 754-444-7432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: MITSOUKO CHATELAIN
Title or Position: PRESIDENT
Credential: LCSW
Phone: 754-444-7432