Provider Demographics
NPI:1437724267
Name:PREFERRED PSYCH LLC
Entity Type:Organization
Organization Name:PREFERRED PSYCH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:CRYSTAL
Authorized Official - Last Name:SOLIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:305-987-0475
Mailing Address - Street 1:2801 NE 183RD ST APT 1205
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-2131
Mailing Address - Country:US
Mailing Address - Phone:305-987-0475
Mailing Address - Fax:
Practice Address - Street 1:2801 NE 183RD ST APT 1205
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33160-2131
Practice Address - Country:US
Practice Address - Phone:305-987-0475
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-24
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health