Juan B Pena Counseling Services Lcsw PLLC
Social Worker, Clinical in Miami, FL. Organization (NPI-2).
NPI number1083173330
StatusActive
Last updated in NPPESJul 4, 2022
Details
- NPI
- 1083173330
- Entity type
- Organization (NPI-2)
- Legal business name
- Juan B Pena Counseling Services Lcsw PLLC
- Organization subpart
- No
- Enumeration date
- Mar 17, 2019
- Certification date
- Feb 11, 2022
- Last updated
- Jul 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
17501 Sw 152nd AveMiami, FL 33187-6311
Phone 347-688-3672 · Fax 718-228-7361
Mailing address
17501 Sw 152nd AveMiami, FL 33187-6311
Phone 347-688-3672 · Fax 718-228-7361
Other practice locations
26 Court St Ste 1009
Brooklyn, NY 11242-1110
Brooklyn, NY 11242-1110
Phone 347-688-7362 · Fax 718-228-7361
Authorized official
Juan B Pena
Owner
3476887362
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