Provider Demographics
NPI:1033996053
Name:DLM THERAPY CORP
Entity Type:Organization
Organization Name:DLM THERAPY CORP
Other - Org Name:BLESSED FUTURES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANGO
Authorized Official - Middle Name:
Authorized Official - Last Name:LEON MOYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-642-6056
Mailing Address - Street 1:1405 NW 120TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33167-2845
Mailing Address - Country:US
Mailing Address - Phone:786-642-9532
Mailing Address - Fax:
Practice Address - Street 1:1405 NW 120TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33167-2845
Practice Address - Country:US
Practice Address - Phone:786-642-9532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-12
Last Update Date:2023-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty