Phoenix Center for Healing P.a.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH7474 Issued in FL

Legal business name

PHOENIX CENTER FOR HEALING P.A.

Practice address

11060 N Kendall Dr
Suite 7
Miami, FL 33176-1272

Phone

(305) 345-3498

Fax

(305) 257-0040

NPI assigned

Aug 21, 2008

Organization subpart

Yes

Parent organization

PHOENIX CENTER FOR HEALING P.A.As reported in NPPES

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

Authorized official

Name

Mr. Robert Hafner, MENTAL HEALTH COUNSENPI 1851539100

Title

Register Agent Florida Corp

Phone

(786) 236-7927

Specialties & licenses 7

Addresses

Part of

Phoenix Center for Healing PA

Locations

Practitioners 1

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

• Robert J Hafner, MHC

  • Mental Health Counselor
  • Miami, FL
  • NPI 1851539100
  NPD (past) Authorized official

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1467609388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14875 SW 238TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328702",
            "telephone_number": "786-236-7927",
            "fax_number": "305-257-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11060 N KENDALL DR",
            "address_2": "SUITE 7",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761272",
            "telephone_number": "305-345-3498",
            "fax_number": "305-257-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX CENTER FOR HEALING P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHOENIX CENTER FOR HEALING P.A.",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "HAFNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "REGISTER AGENT FLORIDA CORP",
        "authorized_official_telephone_number": "786-236-7927",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MENTAL HEALTH COUNSE"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP 2344",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7474",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS888",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Phillips
• Savannah Rae Phillips
• Laroche Philocles, PT
• Phlebotomy Associates of FL
• Phoenix Behavioral Health LLC
• Phoenix Dental, Inc
• Phoenix Medical Rehab Inc
• Phoenix Psychsolutions LLC
• Phoenix Rehab Center Corp
• Phoenix Wellness Center LLC

• Mental Health Counselor in Miami, FL
• Providers in Miami, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.