Provider Demographics
NPI:1841658846
Name:DADE FAMILY COUNSELING
Entity type:Organization
Organization Name:DADE FAMILY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:LECHEVALLIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-487-8140
Mailing Address - Street 1:4343 W FLAGLER ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1586
Mailing Address - Country:US
Mailing Address - Phone:305-487-8140
Mailing Address - Fax:305-487-8139
Practice Address - Street 1:4343 W FLAGLER ST
Practice Address - Street 2:SUITE 100
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1586
Practice Address - Country:US
Practice Address - Phone:305-487-8140
Practice Address - Fax:305-487-8139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-04
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH4091282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ03W8OtherPROVIDER NUMBER
FL002Z7OtherPROVIDER NUMBER