Healthcare Provider Details

I. General information

NPI: 1235331109
Provider Name (Legal Business Name): ROYAL HEALTH GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11200 W FLAGLER ST STE 107
MIAMI FL
33174-4210
US

IV. Provider business mailing address

11200 W FLAGLER ST STE 107
MIAMI FL
33174-4210
US

V. Phone/Fax

Practice location:
  • Phone: 305-445-8787
  • Fax: 305-445-2747
Mailing address:
  • Phone: 305-445-8787
  • Fax: 305-445-2747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH6084
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberME94723
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License NumberME65112
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberMH8062
License Number StateFL

VIII. Authorized Official

Name: MS. ELIZABETH VALENCIA
Title or Position: PRESIDENT
Credential:
Phone: 305-445-8787