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General NPI Number Information
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NPI Number | 1003436445
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Entity Type | Organization
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Legal Business Name | C&C MENTAL AND FAMILY SERVICES CORPORATION
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Dates
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Enumeration Date | 04/24/2020
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 12150 SW 128TH CT STE 228
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City | MIAMI
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State | FL
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Zip | 33186-4674
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Country | US
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Telephone | 786-227-6314
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Fax |
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Provider Business Mailing Address
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Address Line | 3148 SW 143RD PL
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City | MIAMI
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State | FL
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Zip | 33175-7435
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Country | US
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Telephone | 786-712-7151
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NORMA LLERENA
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Credential | CBHCMS
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Telephone | 786-712-7151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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