Organization
PINECREST COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRIS MORE L.C.S.W. (PRESIDENT.)
(305) 667-5595
Entity
Organization
Contact information
Practice address
12368 SW 82 AVE, PINECREST, FL 33156
(305) 667-5595
(305) 259-6015
Mailing address
10351 SW 119 ST, MIAMI, FL 33176
(305) 667-5595
(305) 259-6015
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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