Provider Demographics
NPI:1891128328
Name:MIAMI PROFESSIONAL COUNSELING, INC
Entity Type:Organization
Organization Name:MIAMI PROFESSIONAL COUNSELING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YAMILA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEZCANO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:305-321-5575
Mailing Address - Street 1:10661 N KENDALL DR
Mailing Address - Street 2:SUITE 227
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-8709
Mailing Address - Country:US
Mailing Address - Phone:305-321-5575
Mailing Address - Fax:
Practice Address - Street 1:10661 N KENDALL DR
Practice Address - Street 2:SUITE 227
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-8709
Practice Address - Country:US
Practice Address - Phone:305-321-5575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-20
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10493101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty