| Mind Counseling Llc | |
|
19501 W Country Club Dr Ph 2 Aventura FL 33180-2483 | |
| (786) 337-3808 | |
| Not Available |
| Full Name | Mind Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 19501 W Country Club Dr Ph 2, Aventura, Florida |
| Authorized Official Name and Position | Lina Osorio (MEMBER MANAGER) |
| Authorized Official Contact | 7863373808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Counseling Llc 19501 W Country Club Dr Ph 2 Aventura FL 33180-2483 Ph: (786) 337-3808 | Mind Counseling Llc 19501 W Country Club Dr Ph 2 Aventura FL 33180-2483 Ph: (786) 337-3808 |
| NPI Number | 1568231223 |
|---|---|
| Provider Enumeration Date | 12/22/2023 |
| Last Update Date | 12/22/2023 |
| Certification Date | 12/21/2023 |
| Medicare PECOS PAC ID | 0244676252 |
|---|---|
| Medicare Enrollment ID | O20240313001364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568231223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Lina F Osorio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114369956 PECOS PAC ID: 1153767165 Enrollment ID: I20240313001781 |
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