Provider Demographics
NPI:1457022881
Name:BENEDI THERAPY CENTER
Entity Type:Organization
Organization Name:BENEDI THERAPY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:C
Authorized Official - Last Name:BENEDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-346-0829
Mailing Address - Street 1:8690 SW 33RD TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-3250
Mailing Address - Country:US
Mailing Address - Phone:786-346-0829
Mailing Address - Fax:
Practice Address - Street 1:8690 SW 33RD TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-3250
Practice Address - Country:US
Practice Address - Phone:786-346-0829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-24
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLNONEOtherNONE