Healthcare Provider Details

I. General information

NPI: 1568216604
Provider Name (Legal Business Name): BEU COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2024
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2423 SW 147TH AVE # 2000
MIAMI FL
33185-4082
US

IV. Provider business mailing address

2423 SW 147TH AVE # 2000
MIAMI FL
33185-4082
US

V. Phone/Fax

Practice location:
  • Phone: 786-561-1849
  • Fax:
Mailing address:
  • Phone: 786-561-1849
  • 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: KYNEDII KIMBLE
Title or Position: OWNER
Credential: LMHC,LPC,NBCC
Phone: 786-561-1849