Shaping Lives Behavioral Health LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH15356 Issued in FL

Legal business name

SHAPING LIVES BEHAVIORAL HEALTH LLC

Practice address

7600 S Red Rd Ste 208
South Miami, FL 33143-5408

Phone

(305) 345-3751

NPI assigned

Aug 14, 2018

Organization subpart

No

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

Authorized official

Name

Carlos Ortiz

Title

President

Phone

(305) 345-3751

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1942789516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7742 N KENDALL DR # 422",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567523",
            "telephone_number": "786-598-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 S RED RD STE 208",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435408",
            "telephone_number": "305-345-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAPING LIVES BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-14",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-345-3751"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15356",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senior Care Services
• Jaime Luis Sepulveda, MD, FACOG, FACS
• Alejandro Serrat, DO
• Sazia Shaban
• Jilan Shah, M.D.
• Raman Sharma, MD
• Shaughn C Bennett DO PA
• Stephanie Shaw
• Eric A Sheldon, M.D.
• Mei-Yin Shen

• Mental Health Counselor in South Miami, FL
• Providers in South 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 Feb 27, 2019; 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.