Healthcare Provider Details

I. General information

NPI: 1700705464
Provider Name (Legal Business Name): COUNSELING AND BEHAVIORAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8400 NW 33RD ST
DORAL FL
33122-2008
US

IV. Provider business mailing address

1054 SW 145TH CT
MIAMI FL
33184-3109
US

V. Phone/Fax

Practice location:
  • Phone: 786-252-3542
  • Fax:
Mailing address:
  • Phone: 786-252-3542
  • 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: SERGIO A TORRES
Title or Position: OWNER
Credential:
Phone: 786-252-3542