| Invictus Behavioral Health, Llc | |
|
9425 Sw 72nd St Ste 267 Miami FL 33173-5457 | |
| (954) 601-3445 | |
| Not Available |
| Full Name | Invictus Behavioral Health, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9425 Sw 72nd St Ste 267, Miami, Florida |
| Authorized Official Name and Position | Dieunane Formul (OWNER) |
| Authorized Official Contact | 9546013445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Invictus Behavioral Health, Llc 2413 Main St Ste 558 Miramar FL 33025-7809 Ph: (954) 601-3445 | Invictus Behavioral Health, Llc 9425 Sw 72nd St Ste 267 Miami FL 33173-5457 Ph: (954) 601-3445 |
| NPI Number | 1386243962 |
|---|---|
| Provider Enumeration Date | 10/23/2020 |
| Last Update Date | 12/13/2024 |
| Certification Date | 12/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386243962 | NPI | - | NPPES |
| 1023259058 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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