Provider Demographics
NPI:1730753906
Name:COMPRENHENSIVE COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:COMPRENHENSIVE COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MABEL
Authorized Official - Middle Name:RODRIGUEZ
Authorized Official - Last Name:AGUIAR
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:786-422-2073
Mailing Address - Street 1:14221 SW 120TH ST STE 225
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-4225
Mailing Address - Country:US
Mailing Address - Phone:786-422-2073
Mailing Address - Fax:786-244-2168
Practice Address - Street 1:14221 SW 120TH ST STE 225
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4225
Practice Address - Country:US
Practice Address - Phone:786-422-2073
Practice Address - Fax:786-244-2168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-13
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL105011100Medicaid