Provider Demographics
NPI:1821418880
Name:MY THERAPY CENTER, INC
Entity Type:Organization
Organization Name:MY THERAPY CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECA
Authorized Official - Middle Name:MERCEDES
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:305-856-1999
Mailing Address - Street 1:2153 CORAL WAY
Mailing Address - Street 2:SUITE 602
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2631
Mailing Address - Country:US
Mailing Address - Phone:305-856-1999
Mailing Address - Fax:305-856-7600
Practice Address - Street 1:2153 CORAL WAY
Practice Address - Street 2:SUITE 602
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2631
Practice Address - Country:US
Practice Address - Phone:305-856-1999
Practice Address - Fax:305-856-7600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-17
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA8812252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency