Provider Demographics
NPI:1326394966
Name:EFFECTIVE PROFESSIONAL SERVICES
Entity Type:Organization
Organization Name:EFFECTIVE PROFESSIONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIRLA
Authorized Official - Middle Name:ESMERALDA
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:305-971-8391
Mailing Address - Street 1:14342 SW 163RD ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-1812
Mailing Address - Country:US
Mailing Address - Phone:305-971-8391
Mailing Address - Fax:305-971-8391
Practice Address - Street 1:14342 SW 163RD ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-1812
Practice Address - Country:US
Practice Address - Phone:305-971-8391
Practice Address - Fax:305-971-8391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-01
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5540251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health