Provider Demographics
NPI:1265242119
Name:ASSOCIATED FOR COUNSELING & EVALUATION, PA
Entity type:Organization
Organization Name:ASSOCIATED FOR COUNSELING & EVALUATION, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERARDO
Authorized Official - Middle Name:N
Authorized Official - Last Name:LOPEZ-PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-775-6087
Mailing Address - Street 1:7325 SW 63RD AVE STE 102B
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4812
Mailing Address - Country:US
Mailing Address - Phone:305-775-6087
Mailing Address - Fax:
Practice Address - Street 1:7325 SW 63RD AVE STE 102B
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4812
Practice Address - Country:US
Practice Address - Phone:305-775-6087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty