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Organization
WELLNESS COUNSELING SERVICES, LLC
Active
Organization
WELLNESS COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYDIA CARRION CERPA LCSW (LICENSED CLINICAL SOCIAL WORKER/MGR)
(305) 335-6455
Entity
Organization
Contact information
Practice address
905 BRICKELL BAY DR, SUITE 228, MIAMI, FL 33131-2935
(305) 335-6455
Mailing address
905 BRICKELL BAY DR, SUITE 228, MIAMI, FL 33131-2935
(305) 335-6455
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH11707
FL
1041C0700X
Clinical Social Worker
Primary
SW2171
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497893564
INDIVIDUAL NPI
FL
01
—
1730425778
INDIVIDUAL NPI
FL
Enumeration date
08/01/2013
Last updated
08/01/2013
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