Organization
FDC COUNSELING AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERIKA BAZO FERNANDEZ DE CASTRO LCSW (MENTAL HEALTH THERAPIST)
(786) 395-9162
Entity
Organization
Contact information
Practice address
1450 MADRUGA AVE STE 407, CORAL GABLES, FL 33146-3165
(786) 395-9162
Mailing address
1450 MADRUGA AVE STE 407, CORAL GABLES, FL 33146-3165
(786) 395-9162
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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