Provider Demographics
NPI:1114368503
Name:SALUD COUNSELING & PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:SALUD COUNSELING & PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARI
Authorized Official - Middle Name:CASARES
Authorized Official - Last Name:THORNDIKE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:305-675-9200
Mailing Address - Street 1:3999 SHERIDAN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3635
Mailing Address - Country:US
Mailing Address - Phone:305-675-9200
Mailing Address - Fax:305-675-9200
Practice Address - Street 1:3999 SHERIDAN ST STE 201
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3635
Practice Address - Country:US
Practice Address - Phone:305-675-9200
Practice Address - Fax:305-675-9200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-12
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7529251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health