Healthcare Provider Details

I. General information

NPI: 1144840745
Provider Name (Legal Business Name): AMADA TRO COUNSELING CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2020
Last Update Date: 09/27/2022
Certification Date: 09/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3232 CORAL WAY APT 202
CORAL GABLES FL
33145-3185
US

IV. Provider business mailing address

3232 CORAL WAY APT 202
CORAL GABLES FL
33145-3185
US

V. Phone/Fax

Practice location:
  • Phone: 305-794-1623
  • Fax:
Mailing address:
  • Phone: 305-794-1623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: AMADA TRO
Title or Position: OWNER
Credential: MS PSYCHOLOGY
Phone: 305-794-1623