Healthcare Provider Details

I. General information

NPI: 1336511781
Provider Name (Legal Business Name): FAMILY SOCIAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2015
Last Update Date: 07/24/2024
Certification Date: 07/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13745 NW 7TH AVE
NORTH MIAMI FL
33168-2903
US

IV. Provider business mailing address

14878 SW 140TH ST
MIAMI FL
33196-4682
US

V. Phone/Fax

Practice location:
  • Phone: 786-626-5387
  • Fax:
Mailing address:
  • Phone: 786-626-5387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 5
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MIREL ALVAREZ
Title or Position: OWNER
Credential:
Phone: 786-626-5387