Provider Demographics
NPI:1790908630
Name:HUMAN POTENTIAL INC
Entity Type:Organization
Organization Name:HUMAN POTENTIAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:FERRO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LMFT
Authorized Official - Phone:305-595-8688
Mailing Address - Street 1:9370 SW 72ND ST
Mailing Address - Street 2:SUITE A215
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-5431
Mailing Address - Country:US
Mailing Address - Phone:305-595-8688
Mailing Address - Fax:866-711-0438
Practice Address - Street 1:9370 SW 72ND ST
Practice Address - Street 2:SUITE A215
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-5431
Practice Address - Country:US
Practice Address - Phone:305-595-8688
Practice Address - Fax:866-711-0438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW6501041C0700X
FLMT586106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty