Provider Demographics
NPI:1891317137
Name:CALM IN SENSES, LLC
Entity Type:Organization
Organization Name:CALM IN SENSES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED REPRESENTATIVE
Authorized Official - Prefix:MR
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:DUDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:786-985-3618
Mailing Address - Street 1:16531 NW 18TH AVE
Mailing Address - Street 2:
Mailing Address - City:OPA LOCKA
Mailing Address - State:FL
Mailing Address - Zip Code:33054-6617
Mailing Address - Country:US
Mailing Address - Phone:786-985-3618
Mailing Address - Fax:
Practice Address - Street 1:16531 NW 18TH AVE
Practice Address - Street 2:
Practice Address - City:OPA LOCKA
Practice Address - State:FL
Practice Address - Zip Code:33054-6617
Practice Address - Country:US
Practice Address - Phone:786-985-3618
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRENT THOMAS DUDLEY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-05-09
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty