Healthcare Provider Details

I. General information

NPI: 1922922012
Provider Name (Legal Business Name): AIM THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10400 GRIFFIN RD STE 302A
DAVIE FL
33328-3337
US

IV. Provider business mailing address

10400 GRIFFIN RD STE 302A
DAVIE FL
33328-3337
US

V. Phone/Fax

Practice location:
  • Phone: 954-665-8868
  • Fax:
Mailing address:
  • Phone: 954-665-8868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: ANDREA MOSCOSO
Title or Position: OWNER
Credential: LMFT
Phone: 954-665-8868