Healthcare Provider Details

I. General information

NPI: 1821506239
Provider Name (Legal Business Name): CMA COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2018
Last Update Date: 11/12/2020
Certification Date: 11/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

934 N UNIVERSITY DR # 446
CORAL SPRINGS FL
33071-7029
US

IV. Provider business mailing address

934 N UNIVERSITY DR # 446
CORAL SPRINGS FL
33071-7029
US

V. Phone/Fax

Practice location:
  • Phone: 954-662-9262
  • Fax:
Mailing address:
  • Phone: 954-662-9262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW14221
License Number StateFL

VIII. Authorized Official

Name: MS. CLARA ANGULO
Title or Position: OWNER
Credential: LCSW
Phone: 954-662-9262