| Brainard W. Hines, Ph.d, P.a. | |
|
5001 Sw 74th Ct Ste 104 Miami FL 33155-4483 | |
| (305) 804-4205 | |
| (305) 675-9254 |
| Full Name | Brainard W. Hines, Ph.d, P.a. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5001 Sw 74th Ct, Miami, Florida |
| Authorized Official Name and Position | Brainard W Hines (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 3058044205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brainard W. Hines, Ph.d, P.a. Po Box 565508 Miami FL 33256-5508 Ph: (305) 804-4205 | Brainard W. Hines, Ph.d, P.a. 5001 Sw 74th Ct Ste 104 Miami FL 33155-4483 Ph: (305) 804-4205 |
| NPI Number | 1902172216 |
|---|---|
| Provider Enumeration Date | 03/30/2012 |
| Last Update Date | 03/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902172216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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