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General NPI Number Information
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NPI Number | 1255619086
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Entity Type | Organization
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Legal Business Name | UNITED COUNSELING ASSOCIATES, INC.
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Dates
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Enumeration Date | 07/27/2011
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Last Update Date | 12/16/2021
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Provider Practice Location Address
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Address Line | 2555 NW 102ND AVE STE 210
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City | DORAL
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State | FL
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Zip | 33172-2131
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Country | US
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Telephone | 305-984-7954
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Fax | 305-229-9374
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Provider Business Mailing Address
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Address Line | 1530 SW 150TH AVE
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City | MIAMI
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State | FL
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Zip | 33194-2540
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Country | US
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Telephone | 305-975-3126
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. MAYELIN MORALES
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Credential |
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Telephone | 305-975-3126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW14143
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License Number State | FL
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