Healthcare Provider Details

I. General information

NPI: 1528327699
Provider Name (Legal Business Name): HOAF IHCS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2012
Last Update Date: 07/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14312 SW 103RD TER
MIAMI FL
33186
US

IV. Provider business mailing address

PO BOX 166335
MIAMI FL
33116-6335
US

V. Phone/Fax

Practice location:
  • Phone: 305-360-8417
  • Fax: 305-360-8417
Mailing address:
  • Phone: 305-360-8417
  • Fax: 305-360-8417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberSW2353
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH5915
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH9236
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberSW2353
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberSW2353
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberSW2353
License Number StateFL
# 8
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMH9236
License Number StateFL
# 9
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMH5915
License Number StateFL
# 10
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW2353
License Number StateFL

VIII. Authorized Official

Name: MR. CARLOS ALFREDO ALVAREZ
Title or Position: PRESIDENT
Credential: MSC, BBA
Phone: 305-360-8417