Provider Demographics
NPI:1942913967
Name:REYES THERAPY CENTER LLC
Entity Type:Organization
Organization Name:REYES THERAPY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BELKIS
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES IMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-678-9255
Mailing Address - Street 1:915 NW 1ST AVE APT H1502
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-3535
Mailing Address - Country:US
Mailing Address - Phone:786-678-9255
Mailing Address - Fax:
Practice Address - Street 1:915 NW 1ST AVE APT H1502
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-3535
Practice Address - Country:US
Practice Address - Phone:786-678-9255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-04
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty