Organization
INTEGRATIVE COUNSELING GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YURIT FONSECA N/A (AMBR)
(786) 348-3857
Entity
Organization
Contact information
Practice address
14730 SW 56TH ST, MIAMI, FL 33185-4041
(786) 356-1853
Mailing address
14730 SW 56TH ST, MIAMI, FL 33185-4041
(786) 356-1853
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/27/2019
Last updated
12/10/2019
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