Healthcare Provider Details

I. General information

NPI: 1952823155
Provider Name (Legal Business Name): JUNO COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2017
Last Update Date: 07/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13700 US HIGHWAY 1 STE 202A
JUNO BEACH FL
33408-1600
US

IV. Provider business mailing address

13700 US HIGHWAY 1 STE 202A
JUNO BEACH FL
33408-1600
US

V. Phone/Fax

Practice location:
  • Phone: 561-316-7738
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateFL

VIII. Authorized Official

Name: VASSILIA BINENSZTOK
Title or Position: OWNER
Credential: MS, LMHC
Phone: 561-252-3434