Healthcare Provider Details

I. General information

NPI: 1922937440
Provider Name (Legal Business Name): INDIVIDUAL, COUPLES AND FAMILY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7385 FAIRWAY DR
MIAMI LAKES FL
33014-7818
US

IV. Provider business mailing address

7385 FAIRWAY DR APT 163
MIAMI LAKES FL
33014-6812
US

V. Phone/Fax

Practice location:
  • Phone: 786-521-2728
  • Fax: 786-521-2728
Mailing address:
  • Phone: 786-521-2728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. JOAN MORTON, PHD
Title or Position: OWNER
Credential: PHD, LCCC, LCPC
Phone: 786-521-2728