Healthcare Provider Details
I. General information
NPI: 1164533238
Provider Name (Legal Business Name): FAMILY COUNSELING SERVICES OF GREATER MIAMI, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2006
Last Update Date: 02/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7412 SUNSET DR
MIAMI FL
33143-4130
US
IV. Provider business mailing address
7412 SUNSET DR
MIAMI FL
33143-4130
US
V. Phone/Fax
- Phone: 305-740-8998
- Fax: 305-740-0259
- Phone: 305-740-8998
- Fax: 305-740-0259
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HEATHER
WINTERS
Title or Position: EXECUTIVE DIRECTOR
Credential: LMHC
Phone: 305-740-8998