Healthcare Provider Details

I. General information

NPI: 1386572709
Provider Name (Legal Business Name): BEATRIZ VAN SKY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7510 CENTER BAY DR
NORTH BAY VILLAGE FL
33141-4015
US

IV. Provider business mailing address

7510 CENTER BAY DR
NORTH BAY VILLAGE FL
33141-4015
US

V. Phone/Fax

Practice location:
  • Phone: 305-788-8993
  • Fax:
Mailing address:
  • Phone: 305-788-8993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6564
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: