Healthcare Provider Details

I. General information

NPI: 1003537788
Provider Name (Legal Business Name): PSYCHOLOGICAL & BEHAVIORAL THERAPY SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2022
Last Update Date: 08/21/2023
Certification Date: 08/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 SW 57TH AVE STE 215
MIAMI FL
33155-2163
US

IV. Provider business mailing address

1700 SW 57TH AVE STE 215
MIAMI FL
33155-2163
US

V. Phone/Fax

Practice location:
  • Phone: 305-742-6139
  • Fax:
Mailing address:
  • Phone: 305-742-6139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: SILVIA TRANA-FELIPES
Title or Position: OWNER
Credential: LMHC
Phone: 305-742-6139