Organization
COMPREHENSIVE COUNSELING AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUSLEY PEREZ MS (CEO)
(305) 877-0806
Entity
Organization
Contact information
Practice address
10201 HAMMOCKS BLVD STE 123, MIAMI, FL 33196-3783
(786) 577-3427
(305) 402-3728
Mailing address
10201 HAMMOCKS BLVD STE 123, MIAMI, FL 33196-3783
(786) 577-3427
(305) 402-3728
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107858100
—
FL
Enumeration date
06/05/2017
Last updated
04/02/2024
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