MR. JED SHLACKMAN L.M.H.C. NPI 1962650143

NPI Information

NPI: 1962650143
Provider Name: MR. JED SHLACKMAN, L.M.H.C.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
12965 SW 112TH AVE
MIAMI, FL
ZIP 33176
Phone: (305) 259-0013
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MR. Jed Shlackman, L.M.H.C. is a mental health counselor in Miami, FL. MR. Jed Shlackman, L.M.H.C. NPI is 1962650143. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12965 SW 112TH AVE
MIAMI, FL
ZIP 33176-453
Phone: (305) 259-0013
Fax: (305) 259-0013

The enumeration date for this NPI number is 8/30/2008 and was last updated on 8/30/2008.

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
1	101YM0800X	Counselor	Mental Health	MH 5806	FLORIDA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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