Healthcare Provider Details
I. General information
NPI: 1831881085
Provider Name (Legal Business Name): UNITED THERAPY SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/25/2023
Last Update Date: 05/25/2023
Certification Date: 05/16/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5190 NW 167TH ST STE 202
MIAMI LAKES FL
33014-6338
US
IV. Provider business mailing address
5190 NW 167TH ST STE 202
MIAMI LAKES FL
33014-6338
US
V. Phone/Fax
- Phone: 305-756-9947
- Fax: 305-756-9948
- Phone: 305-756-9947
- Fax: 305-756-9948
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALVIN
HILL
Title or Position: MANAGER
Credential: RN
Phone: 305-756-9947