Provider Demographics
NPI:1538588488
Name:DR. NETA PELEG-ORENLLC
Entity type:Organization
Organization Name:DR. NETA PELEG-ORENLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:NETA
Authorized Official - Middle Name:
Authorized Official - Last Name:PELEG-OREN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCSW
Authorized Official - Phone:786-877-0919
Mailing Address - Street 1:3005 NE 207TH TER
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3621
Mailing Address - Country:US
Mailing Address - Phone:786-877-0919
Mailing Address - Fax:
Practice Address - Street 1:2627 NE 203RD ST STE 113
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1945
Practice Address - Country:US
Practice Address - Phone:786-877-0919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-08
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW10238261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)