Healthcare Provider Details

I. General information

NPI: 1851828131
Provider Name (Legal Business Name): AURORA COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2017
Last Update Date: 05/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2295 NW CORPORATE BLVD STE 211
BOCA RATON FL
33431-7330
US

IV. Provider business mailing address

2295 NW CORPORATE BLVD STE 211
BOCA RATON FL
33431-7330
US

V. Phone/Fax

Practice location:
  • Phone: 561-318-1826
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License NumberMH11347
License Number StateFL

VIII. Authorized Official

Name: BIANCA SPIAK
Title or Position: OWNER
Credential: LMHC, CAP
Phone: 561-318-1826