Healthcare Provider Details

I. General information

NPI: 1033704762
Provider Name (Legal Business Name): PIERRE BEHAVIORAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2021
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1695 NW 110TH AVE STE 106
MIAMI FL
33172-1928
US

IV. Provider business mailing address

1695 NW 110TH AVE STE 106
MIAMI FL
33172-1928
US

V. Phone/Fax

Practice location:
  • Phone: 786-536-4807
  • Fax:
Mailing address:
  • Phone: 786-536-4807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAYMIS PIERRE
Title or Position: PRESIDENT
Credential:
Phone: 305-300-1645