Provider Demographics
NPI:1053309765
Name:THE CENTER FOR PSYCHOLOGICAL COUNSELING SERVICES INC
Entity Type:Organization
Organization Name:THE CENTER FOR PSYCHOLOGICAL COUNSELING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRES
Authorized Official - Middle Name:J
Authorized Official - Last Name:PINTALUGA
Authorized Official - Suffix:
Authorized Official - Credentials:MS LMHC
Authorized Official - Phone:954-894-1174
Mailing Address - Street 1:5124 HOLLYWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6518
Mailing Address - Country:US
Mailing Address - Phone:954-894-1174
Mailing Address - Fax:954-965-4597
Practice Address - Street 1:5124 HOLLYWOOD BLVD
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6518
Practice Address - Country:US
Practice Address - Phone:954-894-1174
Practice Address - Fax:954-965-4597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Single Specialty