Organization
UNIFIED COUNSELING & MEDIATION PLLC
Active
Organization
UNIFIED COUNSELING & MEDIATION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASSAUNDRA TENNILLE WIMES (PSYCHOLOGIST)
(305) 918-2588
Entity
Organization
Contact information
Practice address
7451 RIVIERA BLVD STE 120, MIRAMAR, FL 33023-6569
(305) 918-2588
(305) 974-1360
Mailing address
7451 RIVIERA BLVD STE 120, MIRAMAR, FL 33023-6569
(305) 918-2588
(305) 974-1360
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PY 8192
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003127500
—
FL
05
—
013070800
—
FL
Enumeration date
10/16/2011
Last updated
04/29/2023
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