Intent Therapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH10092 Issued in FL

Legal business name

INTENT THERAPY LLC

Practice address

6001 NW 153Rd St
157
Miami Lakes, FL 33014-2419

Phone

(786) 423-4612

NPI assigned

Oct 25, 2011

Last updated

Mar 10, 2017By 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

Maylin Batista, PH.D,LMHC ,CCSNPI 1285910265

Title

Clinical Director

Phone

(786) 423-4612

Specialties & licenses 1

Addresses

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.

• Maylin Batista, PH.D,LMHC,CCS

  • Mental Health Counselor
  • Miami Lakes, FL
  • NPI 1285910265
  Authorized official Same address or phone

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1790061570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 NW 153RD ST",
            "address_2": "157",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142419",
            "telephone_number": "786-423-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 NW 153RD ST",
            "address_2": "157",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142419",
            "telephone_number": "786-423-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENT THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "BATISTA",
        "authorized_official_first_name": "MAYLIN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "786-423-4612",
        "authorized_official_credential": "PH.D,LMHC ,CCS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH10092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.