Organization
BLUE LINE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BAROSELA (LMHC/DIRECTOR)
(305) 916-6665
Entity
Organization
Contact information
Practice address
7600 SW 57TH AVE, #225, SOUTH MIAMI, FL 33143-5428
(305) 916-6665
Mailing address
9800 SW 148TH TER, MIAMI, FL 33176-7848
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
MH10663
FL
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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