Healthcare Provider Details

I. General information

NPI: 1407778053
Provider Name (Legal Business Name): BEACON OF HOPE BEHAVIORAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 NW 183RD ST STE 232 #C
NORTH MIAMI BEACH FL
33169-4559
US

IV. Provider business mailing address

99 NW 183RD ST STE 232
NORTH MIAMI BEACH FL
33169-4559
US

V. Phone/Fax

Practice location:
  • Phone: 305-213-6837
  • Fax:
Mailing address:
  • Phone: 305-303-0474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: FRANCIS RODRIGUEZ
Title or Position: OWNER
Credential:
Phone: 305-303-0474