Provider Demographics
NPI:1881231124
Name:ONYIAMIND COUNSELING, INC.
Entity Type:Organization
Organization Name:ONYIAMIND COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIELSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES-ESTRADA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:786-512-5686
Mailing Address - Street 1:10393 SW 224TH TER
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33190-1480
Mailing Address - Country:US
Mailing Address - Phone:786-512-5686
Mailing Address - Fax:
Practice Address - Street 1:8950 SW 74TH CT STE 2201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-3181
Practice Address - Country:US
Practice Address - Phone:786-512-5686
Practice Address - Fax:305-252-5415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-05
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL60054OtherAETNA
FL023476600Medicaid