Provider Demographics
NPI:1922693688
Name:BEYOUTIFUL COUNSELING AND EMPOWERMENT SERVICES, LLC
Entity Type:Organization
Organization Name:BEYOUTIFUL COUNSELING AND EMPOWERMENT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAELAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:551-697-8109
Mailing Address - Street 1:10980 NW 14TH AVE APT H101
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33167-4079
Mailing Address - Country:US
Mailing Address - Phone:551-697-8109
Mailing Address - Fax:
Practice Address - Street 1:10980 NW 14TH AVE APT H101
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33167-4079
Practice Address - Country:US
Practice Address - Phone:551-697-8109
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)