Mdtelepsychotherapy, Llc

LBN: Mdtelepsychotherapy, Llc
Mdtelepsychotherapy, Llc is an health care organization with primary practice located at 19500 Turnberry Way Ph F , Aventura FL 33180-2539. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Mdtelepsychotherapy, Llc can be contacted via phone (954) 961-1500, or through Martin, Monique via phone (561) 727-6196.

Contact Information

Primary practice address
19500 Turnberry Way Ph F Aventura FL 33180-2539
Fax: (561) 450-5230
Website:
Authorized official contact:
Name: Martin, Monique

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1629692611
LBN Legal business name Mdtelepsychotherapy, Llc
DBA Doing business as
Authorized official Martin, Monique
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2020
Last updated Sep 8th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629692611 NPPES
Florida Other MH969 LICENSED MENTAL HEALTH COUNSELOR

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