Provider Demographics
NPI:1790549608
Name:TIANDRES TREASURE CHEST INC.
Entity Type:Organization
Organization Name:TIANDRES TREASURE CHEST INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAREA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH-LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:FL CERTIFIED BHT
Authorized Official - Phone:954-658-0891
Mailing Address - Street 1:9701 NE 2ND AVE STE 52
Mailing Address - Street 2:
Mailing Address - City:MIAMI SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33138-2310
Mailing Address - Country:US
Mailing Address - Phone:954-658-0891
Mailing Address - Fax:
Practice Address - Street 1:6304 NW 14TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33147-8008
Practice Address - Country:US
Practice Address - Phone:954-658-0891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No251V00000XAgenciesVoluntary or Charitable