South Florida Center for Family Counseling, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

SW6773 Issued in FL

Legal business name

SOUTH FLORIDA CENTER FOR FAMILY COUNSELING, INC.

Practice address

17801 NW 2ND Ave Ste 207
Miami Gardens, FL 33169-5029

Phone

(954) 243-6298

NPI assigned

Jan 6, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Mayra M Matos, LCSW QCSW

Title

President

Phone

(954) 558-0473

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1497025530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17801 NW 2ND AVE STE 207",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695029",
            "telephone_number": "954-243-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17801 NW 2ND AVE STE 207",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695029",
            "telephone_number": "954-243-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA CENTER FOR FAMILY COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "MATOS",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-558-0473",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW QCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW6773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Miami Gardens, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.