Healthcare Provider Details

I. General information

NPI: 1619784295
Provider Name (Legal Business Name): ADVANCED RECOVERY & COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2024
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 E 49TH ST
HIALEAH FL
33013-1962
US

IV. Provider business mailing address

14400 NW 77TH CT STE 100
MIAMI LAKES FL
33016-1590
US

V. Phone/Fax

Practice location:
  • Phone: 786-916-6073
  • Fax: 786-657-3092
Mailing address:
  • Phone: 786-916-6073
  • Fax: 786-657-3092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LUIS BERNARDO BOTERO
Title or Position: COO
Credential:
Phone: 786-916-6073