| Counseling Solutions Of Broward, Llc | |
|
11322 Miramar Pkwy # 142 Miramar FL 33025-5805 | |
| (954) 610-1125 | |
| Not Available |
| Full Name | Counseling Solutions Of Broward, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 11322 Miramar Pkwy # 142, Miramar, Florida |
| Authorized Official Name and Position | Enid De Jesus (OWNER/ LMHC) |
| Authorized Official Contact | 9546101125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Solutions Of Broward, Llc 11322 Miramar Pkwy # 142 Miramar FL 33025-5805 Ph: (954) 610-1125 | Counseling Solutions Of Broward, Llc 11322 Miramar Pkwy # 142 Miramar FL 33025-5805 Ph: (954) 610-1125 |
| NPI Number | 1942771464 |
|---|---|
| Provider Enumeration Date | 12/10/2018 |
| Last Update Date | 04/25/2022 |
| Certification Date | 04/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942771464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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