Healthcare Provider Details

I. General information

NPI: 1770414351
Provider Name (Legal Business Name): CALM COAST THERAPY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14024 SW 8TH ST UNIT B-1
MIAMI FL
33184-3001
US

IV. Provider business mailing address

14024 SW 8TH ST UNIT B-1
MIAMI FL
33184-3001
US

V. Phone/Fax

Practice location:
  • Phone: 786-292-1402
  • Fax:
Mailing address:
  • Phone: 786-292-1402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ANGEL LEYVA ACOSTA
Title or Position: OWNER
Credential:
Phone: 786-292-1402