Provider Demographics
NPI:1881231124
Name:ONYIAMIND COUNSELING, INC.
Entity type:Organization
Organization Name:ONYIAMIND COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIELSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:786-250-3494
Mailing Address - Street 1:12855 SW 132ND ST STE 104
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-7209
Mailing Address - Country:US
Mailing Address - Phone:867-250-3494
Mailing Address - Fax:786-250-3439
Practice Address - Street 1:12855 SW 132ND ST STE 104
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-7209
Practice Address - Country:US
Practice Address - Phone:786-250-3494
Practice Address - Fax:786-250-3439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL60054OtherAETNA
FL023476600Medicaid