Provider Demographics
NPI:1548799794
Name:ULERU PROJECT LLC
Entity Type:Organization
Organization Name:ULERU PROJECT LLC
Other - Org Name:ULERU INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE CHAIRMAN/CLINICAL DIRECTO
Authorized Official - Prefix:DR
Authorized Official - First Name:UBERTO
Authorized Official - Middle Name:LEONE
Authorized Official - Last Name:MONDOLFI
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, NCC, NCGC-II,
Authorized Official - Phone:305-563-8508
Mailing Address - Street 1:2000 S DIXIE HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-2455
Mailing Address - Country:US
Mailing Address - Phone:305-563-8508
Mailing Address - Fax:305-563-8518
Practice Address - Street 1:2000 S DIXIE HWY STE 200
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133
Practice Address - Country:US
Practice Address - Phone:305-563-8508
Practice Address - Fax:305-563-8518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH14401101YM0800X
261QM0801X
FL1301261QR0405X, 261QR0800X, 324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1790112829Medicaid