Healthcare Provider Details

I. General information

NPI: 1649681586
Provider Name (Legal Business Name): BR COUNSELING SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2014
Last Update Date: 05/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8785 SW 165TH AVE SUITE 200
MIAMI FL
33193-5826
US

IV. Provider business mailing address

8785 SW 165TH AVE SUITE 200
MIAMI FL
33193-5826
US

V. Phone/Fax

Practice location:
  • Phone: 305-725-1225
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH12049
License Number StateFL

VIII. Authorized Official

Name: BARBARA RODRIGUEZ
Title or Position: CEO
Credential: LMHC
Phone: 305-725-1225