Provider Demographics
NPI:1740552587
Name:FAMILY COUNSELING AND COACHING OF MIAMI
Entity type:Organization
Organization Name:FAMILY COUNSELING AND COACHING OF MIAMI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ERNESTO
Authorized Official - Middle Name:
Authorized Official - Last Name:FELIPE-CUERVO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:305-640-5608
Mailing Address - Street 1:75 VALENCIA AVE
Mailing Address - Street 2:300
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6141
Mailing Address - Country:US
Mailing Address - Phone:305-640-5608
Mailing Address - Fax:305-640-5613
Practice Address - Street 1:75 VALENCIA AVE
Practice Address - Street 2:300
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-6141
Practice Address - Country:US
Practice Address - Phone:305-640-5608
Practice Address - Fax:305-640-5613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9981101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty