Healthcare Provider Details

I. General information

NPI: 1831851260
Provider Name (Legal Business Name): RECOVERY BEHAVIORAL AND COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2021
Last Update Date: 10/13/2021
Certification Date: 10/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2103 CORAL WAY STE 405
MIAMI FL
33145-2630
US

IV. Provider business mailing address

13205 NW 7TH LN
MIAMI FL
33182-2282
US

V. Phone/Fax

Practice location:
  • Phone: 305-445-3222
  • Fax:
Mailing address:
  • Phone: 305-798-7317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KATIA QUEVEDO
Title or Position: PSYCHOLOGIST
Credential: PSY.D.
Phone: 305-798-7317