Healthcare Provider Details

I. General information

NPI: 1083124200
Provider Name (Legal Business Name): HOPE FOR A BRIGHTER DAY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2017
Last Update Date: 01/28/2021
Certification Date: 01/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14355 SW 120TH ST STE 105
MIAMI FL
33186-7093
US

IV. Provider business mailing address

14355 SW 120TH ST STE 105
MIAMI FL
33186-7093
US

V. Phone/Fax

Practice location:
  • Phone: 786-444-4205
  • Fax:
Mailing address:
  • Phone: 786-444-4205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIHM5221
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberIHM5221
License Number StateFL

VIII. Authorized Official

Name: DR. MATILDE ZAYAS
Title or Position: PSYCHOTHERAPIST
Credential: PHD, CHT
Phone: 305-383-6336