Provider Demographics
NPI:1629228028
Name:ABSOLUTE PSYCHOLOGICAL SERVICES, INC.
Entity Type:Organization
Organization Name:ABSOLUTE PSYCHOLOGICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALINA
Authorized Official - Middle Name:S
Authorized Official - Last Name:FEAS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:305-826-9292
Mailing Address - Street 1:6450 W 21ST CT
Mailing Address - Street 2:SUITE 207
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-3946
Mailing Address - Country:US
Mailing Address - Phone:305-826-9293
Mailing Address - Fax:305-826-9224
Practice Address - Street 1:6450 W 21ST CT
Practice Address - Street 2:SUITE 207
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-3946
Practice Address - Country:US
Practice Address - Phone:305-826-9293
Practice Address - Fax:305-826-9224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7073261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL286108OtherWELLCARE
FL291183OtherAMERIGROUP OF FL
FL286108OtherHARMONY BEHAVIORAL HEALTH