Provider Demographics
NPI:1750302964
Name:NOUVEAU PSYCHIATRIC SERVICES LLC
Entity Type:Organization
Organization Name:NOUVEAU PSYCHIATRIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:P
Authorized Official - Last Name:NORIEGA
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:305-444-3333
Mailing Address - Street 1:3485 W FLAGLER ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-1042
Mailing Address - Country:US
Mailing Address - Phone:305-444-3333
Mailing Address - Fax:305-444-7044
Practice Address - Street 1:3485 W FLAGLER ST
Practice Address - Street 2:SUITE 500
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-1042
Practice Address - Country:US
Practice Address - Phone:305-444-3333
Practice Address - Fax:305-444-7044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health