Eden Marie Costa, lmhc
Counselor, Mental Health in Miami Lakes, FL. Individual provider (NPI-1).
NPI number1306562673
StatusActive
Last updated in NPPESOct 18, 2022
Details
- NPI
- 1306562673
- Entity type
- Individual (NPI-1)
- Name
- Eden Marie Costa
- Credential
- lmhc
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 18, 2022
- Certification date
- Oct 18, 2022
- Last updated
- Oct 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | mh19193 | FL | Yes |
Practice location
15575 Miami Lakeway N Apt 104Miami Lakes, FL 33014-5577
Phone 786-329-9935
Mailing address
15575 Miami Lakeway N Apt 104Miami Lakes, FL 33014-5577
Phone 786-329-9935
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