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Advanced Behavioral & Counseling Services

Counselor, Mental Health in Miami, FL. Organization (NPI-2).

NPI number1487137915
StatusActive
Last updated in NPPESJan 2, 2025

Details

NPI
1487137915
Entity type
Organization (NPI-2)
Legal business name
Advanced Behavioral & Counseling Services
Organization subpart
No
Enumeration date
Sep 11, 2018
Certification date
Jan 2, 2025
Last updated
Jan 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes
103TP2701X Psychologist, Group Psychotherapy––

Practice location

2500 Sw 107th Ave
Miami, FL 33165-2470

Phone 786-918-2924

Mailing address

2500 Sw 107th Ave
Miami, FL 33165-2470

Authorized official

Lissette Gomez
Owner
7869182924

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