Healthcare Provider Details

I. General information

NPI: 1831739028
Provider Name (Legal Business Name): ALLIANCE RECOVERY & WELLNESS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2020
Last Update Date: 05/19/2021
Certification Date: 05/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 CORAL WAY STE 312
MIAMI FL
33145-2934
US

IV. Provider business mailing address

692 N HOMESTEAD BLVD
HOMESTEAD FL
33030-6236
US

V. Phone/Fax

Practice location:
  • Phone: 786-382-1877
  • Fax:
Mailing address:
  • Phone: 786-382-1877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code364SP0812X
TaxonomyCommunity Psychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: ERIKA ESTEFANIA BIANCOSPINO
Title or Position: OWNER
Credential:
Phone: 786-382-1877