Provider Demographics
NPI:1104557545
Name:HARMONY AT THE GABLES CLINIC LLC
Entity type:Organization
Organization Name:HARMONY AT THE GABLES CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-353-9812
Mailing Address - Street 1:2650 SW 27TH AVE STE 305-306
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-3003
Mailing Address - Country:US
Mailing Address - Phone:786-353-9812
Mailing Address - Fax:786-353-9814
Practice Address - Street 1:2650 SW 27TH AVE STE 305-306
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-3003
Practice Address - Country:US
Practice Address - Phone:786-353-9812
Practice Address - Fax:786-353-9814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-17
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty