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PREVAIL AND PROGRESS COUNSELING PLLC NPI 1053073304


NPI Information

NPI: 1053073304
Provider Name: PREVAIL AND PROGRESS COUNSELING PLLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
18704 SW 100TH AVE
CUTLER BAY, FL
ZIP 33157
Phone: (305) 812-6018
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PREVAIL AND PROGRESS COUNSELING PLLC is a mental health counselor in Cutler Bay, FL. PREVAIL AND PROGRESS COUNSELING PLLC NPI is 1053073304. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

18704 SW 100TH AVE
CUTLER BAY, FL
ZIP 33157-906
Phone: (305) 812-6018

The provider's authorized official is Tiffany Simone Crider .
The authorized official title is Ceo and has the following contact phone number (786) 300-7080.

The enumeration date for this NPI number is 10/13/2021 and was last updated on 10/13/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3261QM0850XClinic/CenterAdult Mental HealthNo
4101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11083961171OTHERFLORIDANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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