MS. JENNY RUTH DATIZ


Address: 2290 Nw 49th St, Miami, FL 33142-3646
Phone: 7869757194

MS. JENNY RUTH DATIZ (NPI# 1497241954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497241954
Entity Type Individual
Full Name MS. JENNY RUTH DATIZ
Credential RMHCI
Practice Address 2290 Nw 49th St
Miami
FL 33142-3646
Practice Telephone 7869757194
Mailing Telephone 7869757194
Enumeration Date 2018-07-09
Last Update Date 2018-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
FL Behavioral Health & Social Service Providers

Office Location

Street Address 2290 NW 49TH ST
City MIAMI
State FL
Zip Code 33142-3646

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1467992594 Lissainet Diaz Sarduy Behavior Technician 2992 Nw 49 St, Miami, FL 33142 2017-03-08
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City MIAMI
Zip Code 33142

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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