Provider Demographics
NPI:1295856383
Name:THE HEALING CENTER OF MIAMI INC
Entity Type:Organization
Organization Name:THE HEALING CENTER OF MIAMI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRSCHNER-SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-254-5541
Mailing Address - Street 1:13200 SW 128TH ST
Mailing Address - Street 2:D-3
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5881
Mailing Address - Country:US
Mailing Address - Phone:305-254-5541
Mailing Address - Fax:305-254-3112
Practice Address - Street 1:13200 SW 128TH ST
Practice Address - Street 2:D-3
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5881
Practice Address - Country:US
Practice Address - Phone:305-254-5541
Practice Address - Fax:305-254-3112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC7590261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)