Healthcare Provider Details

I. General information

NPI: 1083987945
Provider Name (Legal Business Name): MV COUNSELING SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2012
Last Update Date: 02/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1551 FORUM PL BLDG 400
WEST PALM BEACH FL
33401-2319
US

IV. Provider business mailing address

141 EXECUTIVE CIR
BOYNTON BEACH FL
33436-1835
US

V. Phone/Fax

Practice location:
  • Phone: 561-436-7158
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. MINERVA VITON
Title or Position: PRESIDENT
Credential: LCSW
Phone: 561-436-7158