Provider Demographics
NPI:1154596831
Name:PJ & M SERVICES CORPORATION
Entity type:Organization
Organization Name:PJ & M SERVICES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:J
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, BCPC, PHD
Authorized Official - Phone:305-279-1266
Mailing Address - Street 1:12260 SW 8TH ST STE 230
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-1549
Mailing Address - Country:US
Mailing Address - Phone:305-279-1266
Mailing Address - Fax:305-226-2518
Practice Address - Street 1:12260 SW 8TH ST STE 230
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-1549
Practice Address - Country:US
Practice Address - Phone:305-279-1266
Practice Address - Fax:305-226-2518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5664101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL769822 00Medicaid