MEDICARE: DADE FAMILY COUNSELING INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
3	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)

General Provider Information

NPI Number	:	1295598274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DADE FAMILY COUNSELING INC.

Provider Business Mailing Address
First Line	:	3926 NW 167TH ST
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33054-6240
Country	:	US
Telephone Number	:	305-827-3252
Fax Number	:	305-827-3298

Provider Business Practice Location Address
First Line	:	3926 NW 167TH ST
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33054-6240
Country	:	US
Telephone Number	:	305-827-3252
Fax Number	:	305-827-3252

Authorized Official
Title or Position	:	CEO
Name	:	MIGUEL MELLA
Credential	:
Telephone Number	:	305-827-3252

Provider Enumeration Date	:	02/02/2024
Last Update Date	:	08/13/2025

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