Invictus Behavioral Health, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INVICTUS BEHAVIORAL HEALTH, LLC

Practice address

9425 SW 72ND St Ste 267
Miami, FL 33173-5457

Phone

(954) 601-3445

NPI assigned

Oct 23, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Dieunane Formul, LCSWNPI 1023259058

Title

Owner

Phone

(954) 601-3445

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.

• Dieunane Formul, LCSW

  • Clinical Social Worker
  • Miami, FL
  • NPI 1023259058
  NPD Authorized official

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1386243962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 MAIN ST STE 558",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330257809",
            "telephone_number": "954-601-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9425 SW 72ND ST STE 267",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735457",
            "telephone_number": "954-601-3445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8400 N University Dr Ste 2019",
            "address_purpose": "LOCATION",
            "city": "Tamarac",
            "state": "FL",
            "postal_code": "333211752",
            "country_code": "US",
            "telephone_number": "954-601-3445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INVICTUS BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-23",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "FORMUL",
        "authorized_official_first_name": "DIEUNANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-601-3445",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1023259058",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.