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General NPI Number Information
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NPI Number | 1811850142
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Entity Type | Organization
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Legal Business Name | MMGBEHAVIORAL CORP
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 2505 NW 10TH AVE APT 308
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City | MIAMI
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State | FL
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Zip | 33127-4075
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Country | US
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Telephone | 786-370-5358
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Fax |
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Provider Business Mailing Address
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Address Line | 2505 NW 10TH AVE APT 308
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City | MIAMI
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State | FL
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Zip | 33127-4075
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Country | US
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Telephone | 786-370-5358
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARTHA MACHADO GARCIA
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Credential | RMHCI
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Telephone | 786-370-5358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 221700000X
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Taxonomy Name | Art Therapist
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License Number |
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License Number State |
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