Ahava & Shalom Family Counseling Center

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

AHAVA & SHALOM FAMILY COUNSELING CENTER

Practice address

8833 NW 107TH St
Hialeah Gardens, FL 33018-4506

Phone

(305) 776-6118

NPI assigned

Jul 17, 2018

Last updated

Jul 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria T SerraNPI 1396995387

Title

Ceo

Phone

(305) 776-6118

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Teresa Serra, MS

  • Behavior Analyst
  • Hialeah, FL
  • NPI 1396995387
  NPD Authorized official

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1144706664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19182 NW 82ND CIRCLE CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8833 NW 107TH ST",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184506",
            "telephone_number": "305-776-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHAVA & SHALOM FAMILY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "SERRA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-776-6118"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014308200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Hialeah Gardens, FL
• Providers in Hialeah Gardens, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.