Provider Demographics
NPI:1689494403
Name:SURVIVORS HEALING THROUGH OUTREACH, PREVENTION, AND EMPOWERMENT
Entity type:Organization
Organization Name:SURVIVORS HEALING THROUGH OUTREACH, PREVENTION, AND EMPOWERMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR & FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-993-0481
Mailing Address - Street 1:3027 W MISSIONWOOD LN
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-2943
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3027 W MISSIONWOOD LN
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-2943
Practice Address - Country:US
Practice Address - Phone:954-993-0481
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty