Provider Demographics
NPI:1518375658
Name:THE CENTRE FOR COUNSELING OF AVENTURA INC.
Entity Type:Organization
Organization Name:THE CENTRE FOR COUNSELING OF AVENTURA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:L
Authorized Official - Middle Name:A
Authorized Official - Last Name:GRABOIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-932-5500
Mailing Address - Street 1:21110 BISCAYNE BLVD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1227
Mailing Address - Country:US
Mailing Address - Phone:305-932-5500
Mailing Address - Fax:305-935-0466
Practice Address - Street 1:21110 BISCAYNE BLVD
Practice Address - Street 2:SUITE 304
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1227
Practice Address - Country:US
Practice Address - Phone:305-932-5500
Practice Address - Fax:305-935-0466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)Group - Single Specialty