Healthcare Provider Details

I. General information

NPI: 1457140220
Provider Name (Legal Business Name): THE COUNSELING GROUP OF MIAMI, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2025
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2840 SW 3RD AVE
MIAMI FL
33129-2317
US

IV. Provider business mailing address

501 GOODLETTE-FRANK RD N STE C206
NAPLES FL
34102-5666
US

V. Phone/Fax

Practice location:
  • Phone: 58-570-0503
  • Fax:
Mailing address:
  • Phone: 305-857-0050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: GERALYN CECOLA
Title or Position: OWNER
Credential:
Phone: 574-238-5480