Inner Connections Therapeutic Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH14552 Issued in FL

Legal business name

INNER CONNECTIONS THERAPEUTIC SERVICES, LLC

Practice address

2627 NE 203Rd St
Suite 214
Aventura, FL 33180-1900

Phone

(754) 800-9540

NPI assigned

Feb 24, 2017

Last updated

Feb 24, 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

Mrs. Tara Passaretti, LMHC

Title

Co-Owner/LMHC

Phone

(754) 800-9540

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1962942920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 NE 203RD ST",
            "address_2": "SUITE 214",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801900",
            "telephone_number": "754-800-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 NE 203RD ST",
            "address_2": "SUITE 214",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801900",
            "telephone_number": "754-800-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER CONNECTIONS THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "PASSARETTI",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "CO-OWNER/LMHC",
        "authorized_official_telephone_number": "754-800-9540",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.