Wonderful Counselor Llc

LBN: Wonderful Counselor Llc
Wonderful Counselor Llc is an health care organization with primary practice located at 1175 Ne 125Th St Ste 420 , North Miami FL 33161-5011. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Wonderful Counselor Llc can be contacted via phone (786) 906-8656, or through Demerritt, Magda via phone (786) 906-8656.

Contact Information

Primary practice address
1175 Ne 125Th St Ste 420 North Miami FL 33161-5011
Fax:
Website:
Authorized official contact:
Name: Demerritt, Magda Licensed Clinical Social Worker (LCSW)

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1295352425
LBN Legal business name Wonderful Counselor Llc
DBA Doing business as
Authorized official Demerritt, Magda Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2020
Last updated Jul 4th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295352425 NPPES
Florida MEDICAID 015014900

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