Healthcare Provider Details

I. General information

NPI: 1174687057
Provider Name (Legal Business Name): CDH COUNSELING SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 01/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17801 NW 2ND AVE STE 242
MIAMI FL
33169-5029
US

IV. Provider business mailing address

305 NW 203RD TER
MIAMI FL
33169-2529
US

V. Phone/Fax

Practice location:
  • Phone: 305-582-6930
  • Fax:
Mailing address:
  • Phone: 305-582-6930
  • Fax: 305-705-4197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. CLARA DUGROT-HARRIS
Title or Position: OWNER
Credential: MSW, LCSW
Phone: 305-582-6930