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Supra Medical Group Ii, Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Miami, Florida
NPI 1033650221

Supra Medical Group Ii, Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Miami, FL and is specialized in Mental Health (Including Community Mental Health Center). Supra Medical Group Ii, Llc practices in Miami, FL. The NPI Number for Supra Medical Group Ii, Llc is 1033650221 and holds a License No. (Florida).

The current practice location address for Supra Medical Group Ii, Llc is 10300 Sw 72Nd St Ste 101, Miami, FL and can be reached out via phone at 305-200-5210 and via fax at 305-200-5780.

Location: 10300 Sw 72Nd St Ste 101, Miami, FL, 33173-3038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033650221
Provider Name
Supra Medical Group Ii, Llc
Credential
Provider Entity Type
Organization
Address
10300 Sw 72Nd St Ste 101, Miami, FL, 33173-3038
Phone Number
305-200-5210
Fax Number
305-200-5780
Provider Enumeration Date
03/20/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
10300 Sw 72Nd St Ste 101
City
Miami
State
Florida
Zip
33173-3038
Phone Number
305-200-5210
Fax Number
305-200-5780
person
Provider Business Mailing Address Details
Address
10300 Sw 72Nd St Ste 101
City
Miami
State
Florida
Zip
33173-3038
Phone Number
305-200-5210
Fax Number
305-200-5780
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Group Psychotherapy
Taxonomy
103TP2701X
License No.
()
Definition
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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