NPIMap

Organization Active NPI

DTT Coaching Services,LLC

  • Community/Behavioral Health Agency
  • Miramar, FL
National Provider Identifier
1053984690
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DTT COACHING SERVICES,LLC
Practice address
6151 Miramar Pkwy Ste 206
Miramar, FL 33023-3973
Phone
(786) 701-2401
Fax
(305) 397-1287
NPI assigned
Jul 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Damarys Clement
Title
Director
Phone
(786) 701-2401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

6151 Miramar Pkwy Ste 206
Miramar, FL 33023-3973

Mailing address

9745 SW 184TH St
Palmetto Bay, FL 33157-6932
Phone (786) 701-2401

Other identifiers 1

IdentifierTypeStateIssuer
013416001MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
DTT Coaching Servicesllc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1053984690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9745 SW 184TH ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331576932",
            "telephone_number": "786-701-2401",
            "fax_number": "305-397-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 MIRAMAR PKWY STE 206",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330233973",
            "telephone_number": "786-701-2401",
            "fax_number": "305-397-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DTT COACHING SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "CLEMENT",
        "authorized_official_first_name": "DAMARYS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-701-2401"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013416001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.