Healthcare Provider Details

I. General information

NPI: 1386208684
Provider Name (Legal Business Name): HANNIA CALIXTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2019
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 U.S. HWY STE 100
NORTH PALM BEACH FL
33408
US

IV. Provider business mailing address

3107 QUANTUM LAKES DR
BOYNTON BEACH FL
33426-8306
US

V. Phone/Fax

Practice location:
  • Phone: 866-205-1382
  • Fax: 833-423-0607
Mailing address:
  • Phone: 561-316-7889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH27201
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: