Provider Demographics
NPI:1811939317
Name:NU-CONCEPTS BEHAVIORAL HEALTH CENTER LLC
Entity type:Organization
Organization Name:NU-CONCEPTS BEHAVIORAL HEALTH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SERRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-228-2990
Mailing Address - Street 1:8250 SW 40 ST
Mailing Address - Street 2:STE C
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-3335
Mailing Address - Country:US
Mailing Address - Phone:305-228-2990
Mailing Address - Fax:305-228-2656
Practice Address - Street 1:8250 SW 40 ST
Practice Address - Street 2:STE C
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-3335
Practice Address - Country:US
Practice Address - Phone:305-228-2990
Practice Address - Fax:305-228-2656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL101499Medicare Oscar/Certification