Healthcare Provider Details

I. General information

NPI: 1831851260
Provider Name (Legal Business Name): RECOVERY BEHAVIORAL AND COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2021
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6955 NW 77TH AVE STE 310
MIAMI FL
33166-2846
US

IV. Provider business mailing address

13205 NW 7TH LN
MIAMI FL
33182-2282
US

V. Phone/Fax

Practice location:
  • Phone: 786-558-5637
  • Fax: 786-558-4188
Mailing address:
  • Phone: 305-798-7317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name: KATIA QUEVEDO
Title or Position: PSYCHOLOGIST
Credential: PSY.D.
Phone: 305-798-7317