Healthcare Provider Details

I. General information

NPI: 1275378416
Provider Name (Legal Business Name): ECS BEHAVIORAL SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2024
Last Update Date: 06/28/2024
Certification Date: 06/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5915 PONCE DE LEON BLVD STE 48
CORAL GABLES FL
33146-2435
US

IV. Provider business mailing address

5915 PONCE DE LEON BLVD STE 48
CORAL GABLES FL
33146-2435
US

V. Phone/Fax

Practice location:
  • Phone: 786-325-3285
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: IDA SANFIEL
Title or Position: PRESIDENT
Credential:
Phone: 786-325-3285