Healthcare Provider Details

I. General information

NPI: 1801631015
Provider Name (Legal Business Name): SOUTH BEACH COUNSELING SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2024
Last Update Date: 07/03/2024
Certification Date: 07/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 LINCOLN RD STE 11N
MIAMI BEACH FL
33139-3027
US

IV. Provider business mailing address

407 LINCOLN RD STE 11N
MIAMI BEACH FL
33139-3027
US

V. Phone/Fax

Practice location:
  • Phone: 786-970-9723
  • Fax:
Mailing address:
  • Phone: 786-970-9723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. SANDOR J VALLS
Title or Position: PRESIDENT
Credential:
Phone: 786-970-9723