Individual
EBONY A HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,CAP
Contact information
Practice address
1581 W 49TH ST # 147, HIALEAH, FL 33012-2924
(786) 475-1199
Mailing address
1581 W 49TH ST # 147, HIALEAH, FL 33012-2924
(786) 475-1199
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
07/20/2015
Last updated
05/14/2021
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