| Mental Health Counseling Of South Florida Llc | |
|
18656 Nw 47 Ave #102 F Miami Gardens FL 33056 | |
| (954) 695-1258 | |
| Not Available |
| Full Name | Mental Health Counseling Of South Florida Llc |
|---|---|
| Speciality | Clinical Nurse Specialist - Family Health |
| Location | 18656 Nw 47 Ave, Miami Gardens, Florida |
| Authorized Official Name and Position | Carol Johnson Mcgregor (MANAGING MEMBER) |
| Authorized Official Contact | 9542106070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Counseling Of South Florida Llc 18356 Nw 47th Ave Miami Gardens FL 33056 Ph: (954) 695-1258 | Mental Health Counseling Of South Florida Llc 18656 Nw 47 Ave #102 F Miami Gardens FL 33056 Ph: (954) 695-1258 |
| NPI Number | 1114317013 |
|---|---|
| Provider Enumeration Date | 01/29/2015 |
| Last Update Date | 03/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114317013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 364SF0001X | Clinical Nurse Specialist - Family Health | ARNP3090472 (Florida) | Primary |
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