Healthcare Provider Details
I. General information
NPI: 1700254141
Provider Name (Legal Business Name): HOPE SOLUTIONS CORP.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/02/2015
Last Update Date: 09/15/2021
Certification Date: 09/15/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10631 N KENDALL DR STE 1203
MIAMI FL
33176
US
IV. Provider business mailing address
10671 N KENDALL DR
MIAMI FL
33176-1510
US
V. Phone/Fax
- Phone: 786-972-4547
- Fax: 786-255-7149
- Phone: 786-416-0811
- Fax: 786-558-5483
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106E00000X |
| Taxonomy | Assistant Behavior Analyst |
| License Number | MH12606 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANNAREYA
GARCIA
Title or Position: MENTAL HEALTH COUNSELOR
Credential: LMHC
Phone: 786-416-0811