| Sosa-miracolo Counseling Services, L.l.c. | |
|
2312 Wilton Dr Suite 27b Wilton Manors FL 33305-1249 | |
| (786) 218-7382 | |
| Not Available |
| Full Name | Sosa-miracolo Counseling Services, L.l.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 2312 Wilton Dr, Wilton Manors, Florida |
| Authorized Official Name and Position | Melissa Sosa Miracolo (OWNER/OPERATOR) |
| Authorized Official Contact | 7862187382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sosa-miracolo Counseling Services, L.l.c. 2312 Wilton Dr Suite 27b Wilton Manors FL 33305-1249 Ph: (786) 218-7382 | Sosa-miracolo Counseling Services, L.l.c. 2312 Wilton Dr Suite 27b Wilton Manors FL 33305-1249 Ph: (786) 218-7382 |
| NPI Number | 1033645973 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033645973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | L17000053198 (Florida) | Primary |
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