Provider Demographics
NPI:1710696752
Name:AURA THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:AURA THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:
Authorized Official - First Name:REGLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SERUTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-768-6397
Mailing Address - Street 1:5545 SW 8TH ST STE 209
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2287
Mailing Address - Country:US
Mailing Address - Phone:786-768-6397
Mailing Address - Fax:
Practice Address - Street 1:5545 SW 8TH ST STE 209
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2287
Practice Address - Country:US
Practice Address - Phone:786-768-6397
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-18
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty