Altis Counseling LLC
Counselor, Mental Health in Miramar, FL. Organization (NPI-2).
NPI number1497212955
StatusActive
Last updated in NPPESAug 2, 2021
Details
- NPI
- 1497212955
- Entity type
- Organization (NPI-2)
- Legal business name
- Altis Counseling LLC
- Organization subpart
- No
- Enumeration date
- Feb 20, 2019
- Certification date
- Aug 2, 2021
- Last updated
- Aug 2, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – |
Other names
- Integrative Counseling (Doing Business As)
Practice location
11820 Miramar Pkwy Ste 304Miramar, FL 33025-5820
Phone 786-886-4631
Mailing address
Po Box 772002Ocala, FL 34477-2002
Phone 786-886-4631 · Fax 720-265-9580
Authorized official
Eva Abad
Director
7868389568
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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