Organization
BLUE OCEAN MINDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YENSY ACOSTA LCSW (MANAGER)
(305) 606-3882
Entity
Organization
Contact information
Practice address
257 SW 7TH ST, DANIA BEACH, FL 33004-3947
(305) 606-3882
Mailing address
257 SW 7TH ST, DANIA BEACH, FL 33004-3947
(305) 606-3882
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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