Provider Demographics
NPI:1386447894
Name:ARKTOS HEALTH LLC
Entity type:Organization
Organization Name:ARKTOS HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TEDDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOTANA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:786-496-0569
Mailing Address - Street 1:3403 SW 152ND PASS
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-4835
Mailing Address - Country:US
Mailing Address - Phone:786-496-0569
Mailing Address - Fax:
Practice Address - Street 1:3403 SW 152ND PASS
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33185-4835
Practice Address - Country:US
Practice Address - Phone:786-496-0569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)