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NPI Code Detail

MEDICARE: MIAMI FLORIDA MENTAL HEALTH COUNSELING

MEDICARE: MIAMI FLORIDA MENTAL HEALTH COUNSELING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMH 10677FL

General Provider Information

NPI Number : 1164711685
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIAMI FLORIDA MENTAL HEALTH COUNSELING
Provider Business Mailing Address
First Line : PO BOX 144701
Second Line :
City : CORAL GABLES
State : FL
Zip : 33114-4701
Country : US
Telephone Number : 305-310-4245
Fax Number :
Provider Business Practice Location Address
First Line : 98 SUFFOLK AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33010-5038
Country : US
Telephone Number : 305-310-4245
Fax Number :
Authorized Official
Title or Position : LICENSED MENTAL HEALTH COUNSELOR
Name : MS. MERCEDES CARBALLO
Credential : LMHC
Telephone Number : 305-310-4245
Provider Enumeration Date : 04/05/2011
Last Update Date : 04/05/2011

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Directions to “MIAMI FLORIDA MENTAL HEALTH COUNSELING ” Practice Location

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