Provider Demographics
NPI:1124784426
Name:CARE SPACE COUNSELING LLC
Entity type:Organization
Organization Name:CARE SPACE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:ANDREA
Authorized Official - Last Name:POZO ALZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-479-7977
Mailing Address - Street 1:8260 SW 183RD ST
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-6138
Mailing Address - Country:US
Mailing Address - Phone:305-479-7977
Mailing Address - Fax:
Practice Address - Street 1:8260 SW 183RD ST
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-6138
Practice Address - Country:US
Practice Address - Phone:305-479-7977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty