Healthcare Provider Details

I. General information

NPI: 1255619086
Provider Name (Legal Business Name): UNITED COUNSELING ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2011
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92300 OVERSEAS HWY STE 302
TAVERNIER FL
33070-2726
US

IV. Provider business mailing address

1530 SW 150TH AVE
MIAMI FL
33194-2540
US

V. Phone/Fax

Practice location:
  • Phone: 305-975-3126
  • Fax:
Mailing address:
  • Phone: 305-975-3126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW14143
License Number StateFL

VIII. Authorized Official

Name: MRS. MAYELIN MORALES
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 305-975-3126