Provider Demographics
NPI:1245757897
Name:IRMA COTO, INC
Entity Type:Organization
Organization Name:IRMA COTO, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:IRMA
Authorized Official - Middle Name:
Authorized Official - Last Name:COTO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:786-486-2033
Mailing Address - Street 1:1450 MADRUGA AVE STE 302B
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-3164
Mailing Address - Country:US
Mailing Address - Phone:786-486-2033
Mailing Address - Fax:
Practice Address - Street 1:1450 MADRUGA AVE STE 302B
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3164
Practice Address - Country:US
Practice Address - Phone:786-486-2033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMT886106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty