Provider Demographics
NPI:1003085945
Name:DEVONEAR INC
Entity Type:Organization
Organization Name:DEVONEAR INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:DEVON
Authorized Official - Middle Name:ROXANN
Authorized Official - Last Name:HARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW/CAP
Authorized Official - Phone:754-581-6226
Mailing Address - Street 1:950 N KROME AVE STE 405
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-4443
Mailing Address - Country:US
Mailing Address - Phone:305-246-0210
Mailing Address - Fax:305-246-0310
Practice Address - Street 1:950 N KROME AVE STE 405
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-4443
Practice Address - Country:US
Practice Address - Phone:305-246-0210
Practice Address - Fax:305-246-0310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)