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Blue Line Counseling

Clinic/Center, Adult Mental Health in South Miami, FL. Organization (NPI-2).

NPI number1164967204
StatusActive
Last updated in NPPESDec 28, 2016

Details

NPI
1164967204
Entity type
Organization (NPI-2)
Legal business name
Blue Line Counseling
Organization subpart
No
Enumeration date
Dec 28, 2016
Last updated
Dec 28, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental HealthMH10663FLYes

Practice location

7600 Sw 57th Ave
#225
South Miami, FL 33143-5428

Phone 305-916-6665

Mailing address

9800 Sw 148th Ter
Miami, FL 33176-7848

Authorized official

Melissa Barosela
Lmhc/Director
3059166665

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