Long Life Therapy Corporation

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LONG LIFE THERAPY CORPORATION

Practice address

4790 NW 7TH St Ste 102
Miami, FL 33126-2200

Phone

(786) 218-6506

NPI assigned

Aug 7, 2020

Last updated

Aug 7, 2020By 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

Leticia Hernandez Rodriguez

Title

Owner

Phone

(786) 218-6506

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1346850930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 NW 7TH ST STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 NW 7TH ST STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262200",
            "telephone_number": "786-218-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG LIFE THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ RODRIGUEZ",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-218-6506"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorena Londono, PA
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• Long Life Care LLC
• Long Life Medical Inc
• Long Life Medical Services Inc
• Pamela Jennette Long-Dugan, PSY.D.
• Deja Long
• Kyler Long
• Serena Long
• Thelma Long

• Mental Health Clinic/Center (Including Community Mental Health Center) in Miami, FL
• Providers in Miami, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.