Healthcare Provider Details

I. General information

NPI: 1063844660
Provider Name (Legal Business Name): BARON COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2013
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18441 NW 2ND AVE SUTIE 116, NORTH TOWER
MIAMI FL
33169-4517
US

IV. Provider business mailing address

18441 NW 2ND AVE SUTIE 116, NORTH TOWER
MIAMI FL
33169-4517
US

V. Phone/Fax

Practice location:
  • Phone: 786-320-8722
  • Fax: 786-320-6891
Mailing address:
  • Phone: 786-853-7192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. DARLISE BARON
Title or Position: AUTHORIZED REPRESENTATIVE
Credential: PHD, LCSW, CAP
Phone: 786-320-8722