Organization
ADVANCED BEHAVIORAL & COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISSETTE GOMEZ (OWNER)
(786) 918-2924
Entity
Organization
Contact information
Practice address
2500 SW 107TH AVE, MIAMI, FL 33165-2470
(786) 918-2924
Mailing address
2500 SW 107TH AVE, MIAMI, FL 33165-2470
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
09/11/2018
Last updated
01/02/2025
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