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Organization
PREVAIL AND PROGRESS COUNSELING PLLC
Active
Organization
PREVAIL AND PROGRESS COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY SIMONE CRIDER LMHC (CEO)
(786) 300-7080
Entity
Organization
Contact information
Practice address
18704 SW 100TH AVE, CUTLER BAY, FL 33157-6906
(305) 812-6018
Mailing address
18704 SW 100TH AVE, CUTLER BAY, FL 33157-6906
(305) 812-6018
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083961171
NPI
FL
Enumeration date
10/13/2021
Last updated
10/13/2021
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