SOUTHEAST PSYCH SERVICES LLC
Counselor (Mental Health)

Address: 11750 Sw 40th St, Miami, FL 33175-3530

SOUTHEAST PSYCH SERVICES LLC (NPI# 1871188771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871188771
Entity Type Organization
Organization Name SOUTHEAST PSYCH SERVICES LLC
Practice Address 11750 Sw 40th St
Miami
FL 33175-3530
Practice Telephone 3054806693
Mailing Address 207 Hudson Trce # 100
Augusta
GA 30907-2010
Certification Date 2021-03-03
Enumeration Date 2021-03-03
Last Update Date 2021-03-03
Authorized Official Telephone 7062677681
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
Y 103T00000X Psychologist 193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers

Office Location

Street Address 11750 SW 40TH ST
City MIAMI
State FL
Zip Code 33175-3530

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114511045 Fredy Gutierrez Munoz Specialist/Technologist, Other · Surgical Assistant 11750 Sw 40th St, Miami, FL 33175-3530 2021-02-22
1962007161 Marcos Rodriguez Registered Nurse 11750 Sw 40th St, Miami, FL 33175-3530 2020-12-03
1518562180 Enrique Orta Registered Nurse 11750 Sw 40th St, Miami, FL 33175-3530 2020-12-02
1659976306 Lazaro Miguel Enriquez Registered Nurse · Critical Care Medicine 11750 Sw 40th St, Miami, FL 33175-3530 2020-12-01
1033710082 Daniel Fortich Nurse Anesthetist, Certified Registered 11750 Sw 40th St, Miami, FL 33175-3530 2020-11-05
1609492685 Luis Alberto Cardenas Nurse Practitioner · Family 11750 Sw 40th St, Miami, FL 33175-3530 2020-06-24
1982227807 Carlos Luis Rio Santana Nurse Practitioner · Primary Care 11750 Sw 40th St, Miami, FL 33175-3530 2020-05-27
1710516067 Kevin Warren Student in an Organized Health Care Education/Training Program 11750 Sw 40th St, Miami, FL 33175-3530 2020-04-07
1962031344 Alvaro Castro Student in an Organized Health Care Education/Training Program 11750 Sw 40th St, Miami, FL 33175-3530 2020-04-07
1902435027 Leo Berman Ferretti Student in an Organized Health Care Education/Training Program 11750 Sw 40th St, Miami, FL 33175-3530 2020-04-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841815685 Heeransh Dharmesh Dave Student in an Organized Health Care Education/Training Program 11750 Bird Road, Miami, FL 33175-3530 2020-06-08
1659991263 Harshvardhan Rajen Student in an Organized Health Care Education/Training Program 11750 Bird Road, Miami, FL 33175-3530 2020-04-23
1316566912 Juan Gabriel Diaz-Hernandez Student in an Organized Health Care Education/Training Program 11750 Bird Rd, Miami, FL 33175-3530 2020-04-13
1063031920 Victor Manuel Gonzalez Vazquez Student in an Organized Health Care Education/Training Program 11750 Bird Rd, Miami, FL 33175-3530 2020-04-10
1336768290 Carissa Kimsa Nguyen Ford Student in an Organized Health Care Education/Training Program 11750 Bird Rd, Miami, FL 33175-3530 2020-04-10
1477182806 Alejandro Ruiz-Castaneda Student in an Organized Health Care Education/Training Program 11750 Bird Rd, Miami, FL 33175-3530 2020-04-07
1780213033 Jennifer Perez Student in an Organized Health Care Education/Training Program 11750 Bird Rd, Miami, FL 33175-3530 2020-04-07
1790314177 Daniel Esteban Diez Student in an Organized Health Care Education/Training Program 11750 Bird Rd, Miami, FL 33175-3530 2020-04-07
1003445602 Aleksey Petrovich Shubin Student in an Organized Health Care Education/Training Program 11750 Bird Rd, Miami, FL 33175-3530 2020-04-06
1366071946 Bryan Merckel Student in an Organized Health Care Education/Training Program 11750 Bird Rd, Miami, FL 33175-3530 2020-04-05
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Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1144828609 Saily Flores Pharmacist 14190 Sw 26th St, Miami, FL 33175 2020-10-15
1548885965 Kevin Bernardo Gonzalez Behavior Technician 11895 Sw 37 St, Miami, FL 33175 2020-06-11
1619509106 Gladysbel Lorenzo Nurse Practitioner · Family 11740 Sw 42st, Miami, FL 33175 2020-02-12
1154885200 Vanessa Arzola Dmd Pa and Associates Clinic/Center · Dental 13419 Sw 56th Street, Miami, Miami, FL 33175 2019-01-23
1043794878 Alfredo Correa Nurse Anesthetist, Certified Registered Kendall Regional Medical Center, 11750 Sw 40th St, Miami, FL 33175 2018-09-18
1588145932 Mailen Gonzalez Nurse Practitioner 12294 Sw 29 Ter, Miami, FL 33175 2018-08-23
1639655350 Carolina Marie Trueba Behavior Technician 12825 Sw 49th Terr, Miami, FL 33175 2018-07-16
1124504022 Karol Vanesa Toranzos Montenegro Physician Assistant 11750 Bird Rd, Miami, FL 33175 2018-07-13
1982195368 Sara C Medina Behavior Technician 2468 Sw 137th Ave, Miami, FL 33175 2018-05-22
1033611504 Joan Coro Behavior Technician 12905 Sw 42nd St Suite 219, Miami, FL 33175 2018-03-01
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588258735 Melissa Stillman Counseling 7757 Sw 100th St, Miami, FL 33156-8104 2021-02-26
1588258560 Gabriela Torras Ceballos 9029 Sw 148th Ct, Miami, FL 33196-4128 2021-02-22
1215521117 Alexia Pilleris 19477 Ne 10th Ave Apt 227, Miami, FL 33179-5731 2021-02-22
1770176711 Solange Rodriguez 11800 Sw 18th St Apt 524, Miami, FL 33175-1663 2021-02-19
1164015483 Faith Counseling Services 701 Nw 210th St Bldg 3, Miami, FL 33169-2031 2021-02-17
1972196608 Krystyna Isel Manso 100 Ne 38th St, Miami, FL 33137-3654 2021-02-13
1932791910 Diley Fernandez De Castro Alonso 14931 Sw 82nd Ln # 18-405, Miami, FL 33193-3117 2021-02-10
1962094060 Yania Benech Jimenez 6303 Bird Rd, Miami, FL 33155-4825 2021-02-09
1285226647 Paola Andrea Rojas 2233 Sw 19th St, Miami, FL 33145-2429 2021-02-08
1477144426 Maureen Martha Hernandez 6100 Blue Lagoon Dr Ste 400, Miami, FL 33126-2080 2021-02-02
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Competitor

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City MIAMI
Zip Code 33175

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.