Healthcare Provider Details

I. General information

NPI: 1396664017
Provider Name (Legal Business Name): SURVE BEHAVIORAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 N FEDERAL HWY STE 301
HALLANDALE BEACH FL
33009-2463
US

IV. Provider business mailing address

500 NE 112TH ST
MIAMI FL
33161-7162
US

V. Phone/Fax

Practice location:
  • Phone: 954-554-4372
  • Fax:
Mailing address:
  • Phone: 954-554-4372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL PYCHER
Title or Position: MEMBER
Credential:
Phone: 954-554-4372