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NPI 1295598274

NPI 1295598274 : DADE FAMILY COUNSELING INC. : MIAMI GARDENS, FL

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General NPI Number Information
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    NPI Number           |    1295598274
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    Entity Type          |    Organization 
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    Legal Business Name  |    DADE FAMILY COUNSELING INC. 
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Dates
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    Enumeration Date     |    02/02/2024
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    Last Update Date     |    08/13/2025
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Provider Practice Location Address
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    Address Line         |    3926 NW 167TH ST 
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    City                 |    MIAMI GARDENS
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    State                |    FL
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    Zip                  |    33054-6240
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    Country              |    US
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    Telephone            |    305-827-3252
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    Fax                  |    305-827-3252
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Provider Business Mailing Address
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    Address Line         |    3926 NW 167TH ST 
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    City                 |    MIAMI GARDENS
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    State                |    FL
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    Zip                  |    33054-6240
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    Country              |    US
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    Telephone            |    305-827-3252
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    Fax                  |    305-827-3298
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     MIGUEL  MELLA 
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    Credential           |    
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    Telephone            |    305-827-3252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QR0401X
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    Taxonomy Name        |    Comprehensive Outpatient Rehabilitation Facility (CORF)
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    License Number       |    
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    License Number State |    
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