Individual ProviderJuliana VassoloCounselorBehavioral Health & Social Service ProvidersPractice Address11415 N Bayshore Dr, North Miami, FL 33181-3213(305) 788-4511PECOS EnrollmentBased on the most recent information from CMS, provider Juliana Vassolo does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1366977043Provider TypeIndividualFull NameVassolo, JulianaCredentialM.A.GenderFemaleSole ProprietorYesEnumeration Date5/1/2017Last Updated5/1/2017Contact InformationPractice LocationPractice Address11415 N Bayshore Dr, North Miami, FL 33181-3213Phone(305) 788-4511FaxUnlisted FaxMailing LocationMailing Address11415 N Bayshore Dr, North Miami, FL 33181-3213Phone(305) 788-4511FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseRMHCI 15448