Healthcare Provider Details

I. General information

NPI: 1407337199
Provider Name (Legal Business Name): EMPHOUR, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2018
Last Update Date: 07/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13595 SW 134TH AVE STE 101
MIAMI FL
33186-4579
US

IV. Provider business mailing address

888 BRICKELL KEY DR APT 406
MIAMI FL
33131-2604
US

V. Phone/Fax

Practice location:
  • Phone: 786-592-2323
  • Fax: 305-713-1207
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH-12050
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-18-31058
License Number State

VIII. Authorized Official

Name: JULIO PEREZ-DELGADO
Title or Position: CEO
Credential:
Phone: 786-592-2323