Provider Demographics
NPI:1821410036
Name:VALUES & STRENGTHS PSYCHO-EDUCATIONAL SERVICES, LLC
Entity Type:Organization
Organization Name:VALUES & STRENGTHS PSYCHO-EDUCATIONAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VALERIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FONTANALS
Authorized Official - Suffix:
Authorized Official - Credentials:SS, EDM
Authorized Official - Phone:786-393-7955
Mailing Address - Street 1:888 BRICKELL KEY DR APT 700
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2661
Mailing Address - Country:US
Mailing Address - Phone:786-393-7955
Mailing Address - Fax:
Practice Address - Street 1:78 SW 7TH ST STE 9-153
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130
Practice Address - Country:US
Practice Address - Phone:786-393-7955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-08
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSS 1140103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Single Specialty