MEDICARE: SEEDS OF HOPE COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1528990470
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEEDS OF HOPE COUNSELING

Provider Business Mailing Address
First Line	:	300 SW 107TH AVE STE 107
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33174-3601
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 SW 107TH AVE STE 107
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33174-3601
Country	:	US
Telephone Number	:	786-708-2286
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AILEN LEGUIZAMON
Credential	:	LCSW
Telephone Number	:	786-708-2286

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “SEEDS OF HOPE COUNSELING ” Practice Location

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