Provider Demographics
NPI:1811203052
Name:SOUTH FLORIDA COUNSELING AND CONSULTANTS
Entity Type:Organization
Organization Name:SOUTH FLORIDA COUNSELING AND CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:LAZARO
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, LMFT, CAP
Authorized Official - Phone:305-537-6237
Mailing Address - Street 1:16300 NE 19TH AVE
Mailing Address - Street 2:# 239
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-4883
Mailing Address - Country:US
Mailing Address - Phone:305-537-6237
Mailing Address - Fax:305-974-8262
Practice Address - Street 1:16300 NE 19TH AVE
Practice Address - Street 2:# 239
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4883
Practice Address - Country:US
Practice Address - Phone:305-537-6237
Practice Address - Fax:305-974-8262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-25
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCAP 2821101YA0400X
FLCAP 4906101YA0400X
FLMH 8360101YM0800X
FLSW 85601041C0700X
FLMT2349106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty