Healthcare Provider Details

I. General information

NPI: 1699202184
Provider Name (Legal Business Name): BUXANI COUNSELING CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2017
Last Update Date: 10/12/2023
Certification Date: 10/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9700 S DIXIE HWY STE 880
MIAMI FL
33156-2839
US

IV. Provider business mailing address

9270 SW 93RD AVE
MIAMI FL
33176-2040
US

V. Phone/Fax

Practice location:
  • Phone: 786-808-4673
  • Fax:
Mailing address:
  • Phone: 305-587-8482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14983
License Number StateFL

VIII. Authorized Official

Name: RACHNA BUXANI
Title or Position: OWNER
Credential:
Phone: 305-587-8482