| Mind And Soul Counseling Services Corp | |
|
5125 Sw 165th Ave Miami FL 33185-5163 | |
| (786) 479-3936 | |
| Not Available |
| Full Name | Mind And Soul Counseling Services Corp |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5125 Sw 165th Ave, Miami, Florida |
| Authorized Official Name and Position | Orietta Bornacelly (OWNER) |
| Authorized Official Contact | 7864793936 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind And Soul Counseling Services Corp 5125 Sw 165th Ave Miami FL 33185-5163 Ph: (786) 479-3936 | Mind And Soul Counseling Services Corp 5125 Sw 165th Ave Miami FL 33185-5163 Ph: (786) 479-3936 |
| NPI Number | 1003667866 |
|---|---|
| Provider Enumeration Date | 03/29/2024 |
| Last Update Date | 03/29/2024 |
| Certification Date | 03/29/2024 |
| Medicare PECOS PAC ID | 9133568827 |
|---|---|
| Medicare Enrollment ID | O20240415000826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003667866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Orietta Bornacelly |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265064273 PECOS PAC ID: 1951740646 Enrollment ID: I20240415000894 |
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