Healthcare Provider Details

I. General information

NPI: 1609790898
Provider Name (Legal Business Name): OGNAB CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9425 SW 72ND ST STE 251
MIAMI FL
33173-5457
US

IV. Provider business mailing address

5979 SW 56TH ST
MIAMI FL
33155-6343
US

V. Phone/Fax

Practice location:
  • Phone: 305-224-6138
  • Fax:
Mailing address:
  • Phone: 305-205-8467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: LOURDES C GARCIA-CARRILLO
Title or Position: OWNER
Credential: PHD
Phone: 305-205-8467