Provider Demographics
NPI:1801547880
Name:SOUTH COVE COUNSELING LLC
Entity type:Organization
Organization Name:SOUTH COVE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MYROSLAVA
Authorized Official - Middle Name:
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:941-203-9598
Mailing Address - Street 1:1460 S MCCALL RD STE 2D
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34223-4869
Mailing Address - Country:US
Mailing Address - Phone:941-203-9598
Mailing Address - Fax:
Practice Address - Street 1:1460 S MCCALL RD STE 2D
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34223-4869
Practice Address - Country:US
Practice Address - Phone:941-203-9598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty