Healthcare Provider Details

I. General information

NPI: 1437974441
Provider Name (Legal Business Name): AR ALL LEVEL BEHAVIORAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2024
Last Update Date: 11/15/2024
Certification Date: 11/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 W 76TH ST STE 408-410
HIALEAH FL
33016-5539
US

IV. Provider business mailing address

2100 W 76TH ST STE 408-410
HIALEAH FL
33016-5539
US

V. Phone/Fax

Practice location:
  • Phone: 786-542-5056
  • Fax: 786-238-7694
Mailing address:
  • Phone: 786-542-5056
  • Fax: 786-238-7694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LISSETT M RODRIGUEZ
Title or Position: OWNER
Credential:
Phone: 786-542-5056