Family Balance Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FAMILY BALANCE THERAPY, LLC

Practice address

8600 SW 212TH St Apt 210
Cutler Bay, FL 33189-3812

Phone

(786) 771-3370

NPI assigned

Apr 9, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Flor de Liz Santiago FernandezNPI 1831724665

Title

Administrator

Phone

(786) 263-3965

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Flor de Liz Santiago Fernandez, LCSW, ASD SPECIALIST

  • Clinical Social Worker
  • Cutler Bay, FL
  • NPI 1831724665
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1447879465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 SW 212TH ST APT 210",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331893812",
            "telephone_number": "786-771-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 SW 212TH ST APT 210",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331893812",
            "telephone_number": "786-771-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY BALANCE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-09",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO FERNANDEZ",
        "authorized_official_first_name": "FLOR DE LIZ",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-263-3965",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yeily Fadul
• Mabileidi Fagundo Hernandez
• Libed Falcon Prendes
• Mayda Falcon Rodriguez
• Adriana Victoria Falcon, PHARM. D.
• Family First Caring Hands LLC
• Family First Developmental Group Home Inc.
• Family Health Solutions LLC
• Family Love Behavioral Health Care LLC
• Family Love Behavioral Health Care LLC

• Clinical Social Worker in Cutler Bay, FL
• Providers in Cutler Bay, 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 Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.