Therapeutic Rebirth Corporation

LBN: Therapeutic Rebirth Corporation
Therapeutic Rebirth Corporation is an health care organization with primary practice located at 4310 Sw 164Th Ct , Miami FL 33185-5293. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty. Therapeutic Rebirth Corporation can be contacted via phone (305) 905-0631, or through Alvarez, Eduardo via phone (305) 905-0631.

Contact Information

Primary practice address
4310 Sw 164Th Ct Miami FL 33185-5293
Phone: (305) 905-0631
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Alvarez, Eduardo LMHC
Phone: (305) 905-0631

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X MH7550 Florida
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X MH7550 Florida
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X MH7550 Florida

Profile Details

NPI number 1619497609
LBN Legal business name Therapeutic Rebirth Corporation
DBA Doing business as
Authorized official Alvarez, Eduardo LMHC
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2017
Last updated Jul 21st, 2022 - about 3 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 1619497609 NPPES
Florida MEDICAID 017436200

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