Healthcare Provider Details

I. General information

NPI: 1356002513
Provider Name (Legal Business Name): RSL COUNSELING OF SOUTH FLORIDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2022
Last Update Date: 11/14/2022
Certification Date: 11/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1881 NE 26TH ST STE 244
WILTON MANORS FL
33305-1426
US

IV. Provider business mailing address

1881 NE 26TH ST STE 244
WILTON MANORS FL
33305-1426
US

V. Phone/Fax

Practice location:
  • Phone: 754-216-1059
  • Fax:
Mailing address:
  • Phone: 754-216-1059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. KRISTIE MARIE SLINSKEY
Title or Position: OWNER
Credential: DSW, LCSW
Phone: 561-262-3207