Healthcare Provider Details

I. General information

NPI: 1366749111
Provider Name (Legal Business Name): MAXIMUM COUNSELING SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2011
Last Update Date: 01/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 NE 125TH ST SUITE #203
NORTH MIAMI FL
33161-5034
US

IV. Provider business mailing address

1125 NE 125TH ST SUITE #203
NORTH MIAMI FL
33161-5034
US

V. Phone/Fax

Practice location:
  • Phone: 305-433-6712
  • Fax: 305-735-5934
Mailing address:
  • Phone: 305-433-6712
  • Fax: 305-735-5934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. SHERMAN BROWN
Title or Position: CEO
Credential: MBA, CAP, SAP ICADC
Phone: 786-536-6550