MEDICARE: ADONAI CLINICAL CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1215723895
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADONAI CLINICAL CENTER INC

Provider Business Mailing Address
First Line	:	7605 DAVIE ROAD EXT STE 6
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-2623
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7605 DAVIE ROAD EXT STE 6
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-2623
Country	:	US
Telephone Number	:	786-616-2150
Fax Number	:

Authorized Official
Title or Position	:	OFFICER
Name	:	HANNA HERRERA
Credential	:
Telephone Number	:	786-616-2150

Provider Enumeration Date	:	04/18/2025
Last Update Date	:	03/04/2026

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Directions to “ADONAI CLINICAL CENTER INC ” Practice Location

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