Provider Demographics
NPI:1114401700
Name:NARVAEZ PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:NARVAEZ PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:NARVAEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MRS
Authorized Official - Phone:786-205-2470
Mailing Address - Street 1:PO BOX 565453
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33256-5453
Mailing Address - Country:US
Mailing Address - Phone:786-205-2470
Mailing Address - Fax:305-595-1509
Practice Address - Street 1:10637 N KENDALL DR STE 7K
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1523
Practice Address - Country:US
Practice Address - Phone:786-205-2470
Practice Address - Fax:305-595-1509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-19
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty