Healthcare Provider Details

I. General information

NPI: 1326695289
Provider Name (Legal Business Name): LIVING CARE THERAPY CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2019
Last Update Date: 12/21/2024
Certification Date: 12/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10511 SW 88TH ST STE C103
MIAMI FL
33176-1546
US

IV. Provider business mailing address

10511 SW 88TH ST STE C103
MIAMI FL
33176-1546
US

V. Phone/Fax

Practice location:
  • Phone: 786-530-7427
  • Fax: 305-275-8948
Mailing address:
  • Phone: 786-530-7427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VANESSA BARRINAT
Title or Position: PRESIDENT
Credential:
Phone: 786-530-7427