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MISS GLORIA SOFIA BENCOSME LMHC, NCC, RPT,BCBA
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1881954824
Individual Registrant:MISS GLORIA SOFIA BENCOSME LMHC, NCC, RPT,BCBA
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
12300 S SHORE BLVD STE 218 WELLINGTON, FL 33414-6509 US
Tel: 561-420-3810 Fax: 561-444-2458
Tel: 561-420-3810 Fax: 561-444-2458
Contact information for business:
123 WAKULLA SPRINGS WAY ROYAL PALM BEACH, FL 33411-4219 US
Tel: 561-420-3810 Fax: --
Tel: 561-420-3810 Fax: --
Registration Information:
NPI: 1881954824
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | FL | MH 12298 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
