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Organization
COMPREHENSIVE COUNSELING AND WELLNESS CENTER LLC
Active
Organization
COMPREHENSIVE COUNSELING AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUSLEY PEREZ MS (CEO)
(305) 877-0806
Entity
Organization
Contact information
Practice address
10201 HAMMOCKS BLVD STE 123, MIAMI, FL 33196-3783
(786) 577-3427
(305) 402-3728
Mailing address
10201 HAMMOCKS BLVD STE 123, MIAMI, FL 33196-3783
(786) 577-3427
(305) 402-3728
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107858100
—
FL
Enumeration date
06/05/2017
Last updated
04/02/2024
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