Provider Demographics
NPI:1144092305
Name:MELIORA CONSULTANTS GROUP LLC
Entity type:Organization
Organization Name:MELIORA CONSULTANTS GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:
Authorized Official - First Name:ILEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PERDOMO CARMONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-879-9550
Mailing Address - Street 1:8785 SW 165TH AVE STE 307
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-5826
Mailing Address - Country:US
Mailing Address - Phone:786-956-7480
Mailing Address - Fax:
Practice Address - Street 1:8785 SW 165TH AVE STE 307
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-5826
Practice Address - Country:US
Practice Address - Phone:786-956-7480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty