# MIND, BODY AND SOUL COUNSELING SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578909131
- **Authorized official:** GISELLE CARIDAD MALLON LMHC (MANAGER)
- **Authorized official phone:** (305) 753-2671

## Contact information

- **Practice address:** 8180 NW 36TH ST, SUITE 100-C, DORAL, FL 33166-6645
- **Practice address phone:** (305) 753-2671
- **Mailing address:** 4727 NW 4TH ST, MIAMI, FL 33126-2113
- **Mailing address phone:** (305) 753-2671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | LMHC 9366 | FL | Yes |

## Other

- **Enumeration date:** 05/21/2013
- **Last updated:** 06/25/2013