Organization
NEW MOON MENTAL HEALTH COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIA AZUCENA LCSW (CEO)
(305) 753-2336
Entity
Organization
Contact information
Practice address
13023 SW 113TH PL, MIAMI, FL 33176-8339
(305) 753-2336
Mailing address
13023 SW 113TH PL, MIAMI, FL 33176-8339
(305) 753-2336
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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