Provider Demographics
NPI:1508233941
Name:PRESTIGE COUNSELING SERVICES INC.
Entity Type:Organization
Organization Name:PRESTIGE COUNSELING SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ ABREU
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:305-342-4891
Mailing Address - Street 1:4555 SW 2ND ST
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1504
Mailing Address - Country:US
Mailing Address - Phone:305-342-4891
Mailing Address - Fax:
Practice Address - Street 1:4555 SW 2ND ST
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1504
Practice Address - Country:US
Practice Address - Phone:305-342-4891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-01
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW5341314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility