Provider Demographics
NPI:1801631015
Name:SOUTH BEACH COUNSELING SERVICES INC
Entity type:Organization
Organization Name:SOUTH BEACH COUNSELING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDOR
Authorized Official - Middle Name:J
Authorized Official - Last Name:VALLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-970-9723
Mailing Address - Street 1:407 LINCOLN RD STE 11N
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-3027
Mailing Address - Country:US
Mailing Address - Phone:786-970-9723
Mailing Address - Fax:
Practice Address - Street 1:407 LINCOLN RD STE 11N
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-3027
Practice Address - Country:US
Practice Address - Phone:786-970-9723
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-28
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty