Provider Demographics
NPI:1356117857
Name:CP CONSULTANCY & WRAPAROUND SERVICES LLC
Entity type:Organization
Organization Name:CP CONSULTANCY & WRAPAROUND SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:PILDAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-287-9332
Mailing Address - Street 1:14123 SW 177TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-7765
Mailing Address - Country:US
Mailing Address - Phone:786-505-6441
Mailing Address - Fax:786-610-4977
Practice Address - Street 1:12958 SW 133RD CT STE A2
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6169
Practice Address - Country:US
Practice Address - Phone:786-505-6441
Practice Address - Fax:786-610-4977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1649503822Medicaid