Organization
MIND AND SOUL COUNSELING SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORIETTA BORNACELLY LMFT (OWNER)
(786) 479-3936
Entity
Organization
Contact information
Practice address
5125 SW 165TH AVE, MIAMI, FL 33185-5163
(786) 479-3936
Mailing address
5125 SW 165TH AVE, MIAMI, FL 33185-5163
(786) 479-3936
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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