Provider Demographics
NPI:1154009140
Name:TIME OF JOY BEHAVIORAL SERVICES LLC
Entity type:Organization
Organization Name:TIME OF JOY BEHAVIORAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ VALDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-443-7906
Mailing Address - Street 1:4271 NW 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-5426
Mailing Address - Country:US
Mailing Address - Phone:786-443-7906
Mailing Address - Fax:
Practice Address - Street 1:4271 NW 4TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-5426
Practice Address - Country:US
Practice Address - Phone:786-443-7906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty