Provider Demographics
NPI:1003327941
Name:LITTLE HEROES THERAPY SERVICES, INC.
Entity Type:Organization
Organization Name:LITTLE HEROES THERAPY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIETA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:786-391-2275
Mailing Address - Street 1:1840 W 49TH ST STE 302
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-2965
Mailing Address - Country:US
Mailing Address - Phone:786-391-2275
Mailing Address - Fax:786-409-5239
Practice Address - Street 1:1840 W 49TH ST STE 302
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-2965
Practice Address - Country:US
Practice Address - Phone:786-391-2275
Practice Address - Fax:786-409-5239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-18
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty