Provider Demographics
NPI:1982848370
Name:SOUTH FLORIDA COUNSELING AGENCY, INC
Entity Type:Organization
Organization Name:SOUTH FLORIDA COUNSELING AGENCY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARINA
Authorized Official - Middle Name:C
Authorized Official - Last Name:LAPA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:954-370-8081
Mailing Address - Street 1:10220 W STATE ROAD 84 STE 2
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324-4223
Mailing Address - Country:US
Mailing Address - Phone:954-370-8081
Mailing Address - Fax:
Practice Address - Street 1:10220 W STATE ROAD 84 STE 2
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33324-4223
Practice Address - Country:US
Practice Address - Phone:954-370-8081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9119101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000309100Medicaid