Provider Demographics
NPI:1649501909
Name:PJ PSYCHOTHERAPY,LLC
Entity type:Organization
Organization Name:PJ PSYCHOTHERAPY,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:JULIO
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:305-388-2988
Mailing Address - Street 1:9010 SW 137 AVE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1437
Mailing Address - Country:US
Mailing Address - Phone:305-388-2988
Mailing Address - Fax:305-388-2949
Practice Address - Street 1:9010 SW 137 AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1437
Practice Address - Country:US
Practice Address - Phone:305-388-2988
Practice Address - Fax:305-388-2949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-26
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty