Provider Demographics
NPI:1174851802
Name:PSYCHOTHERAPY SOLUTIONS, INC.
Entity Type:Organization
Organization Name:PSYCHOTHERAPY SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:NORYS
Authorized Official - Middle Name:T
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, DCSW,SAP,NBCCH
Authorized Official - Phone:305-669-3835
Mailing Address - Street 1:9055 SW 73RD CT APT 1003
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-2952
Mailing Address - Country:US
Mailing Address - Phone:305-669-3835
Mailing Address - Fax:305-669-3875
Practice Address - Street 1:7550 SW 57TH AVE STE 112
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5331
Practice Address - Country:US
Practice Address - Phone:305-669-3835
Practice Address - Fax:305-669-3875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-18
Last Update Date:2011-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 9371251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health