Healthcare Provider Details

I. General information

NPI: 1427055417
Provider Name (Legal Business Name): DADE FAMILY COUNSELING COMMUNITY MENTAL HEALTH CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9350 SUNSET DR STE 151
MIAMI FL
33173-3286
US

IV. Provider business mailing address

9350 SUNSET DR STE 151
MIAMI FL
33173-3286
US

V. Phone/Fax

Practice location:
  • Phone: 786-548-1022
  • Fax: 786-542-5326
Mailing address:
  • Phone: 786-548-1022
  • Fax: 305-774-9573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number101454
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: EVA SANCHEZ DE LA PORTILLA
Title or Position: PRESIDENT
Credential:
Phone: 786-548-1022