Healthcare Provider Details

I. General information

NPI: 1174431365
Provider Name (Legal Business Name): COGNITIVE COLLECTIVE BEHAVIORAL HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 W 56TH ST APT 3304
HIALEAH FL
33012-6958
US

IV. Provider business mailing address

1910 W 56TH ST APT 3304
HIALEAH FL
33012-6958
US

V. Phone/Fax

Practice location:
  • Phone: 786-620-4399
  • Fax:
Mailing address:
  • Phone: 786-620-4399
  • 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: RACHEL ANGULO
Title or Position: LICENSED MENTAL HEALTH COUNSELOR
Credential: LMHC
Phone: 786-620-4399