EAST LAS OLAS PSYCHOLOGICAL GROUP NPI 1073720835

NPI Information

NPI: 1073720835
Provider Name: EAST LAS OLAS PSYCHOLOGICAL GROUP
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
108 SE 8TH AVE
SUITE 203
FORT LAUDERDALE, FL
ZIP 33301
Phone: (954) 768-0434
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EAST LAS OLAS PSYCHOLOGICAL GROUP is a mental health counselor in Fort Lauderdale, FL. EAST LAS OLAS PSYCHOLOGICAL GROUP NPI is 1073720835. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

108 SE 8TH AVE
SUITE 203
FORT LAUDERDALE, FL
ZIP 33301-023
Phone: (954) 768-0434
Fax: (954) 768-0285

The provider's authorized official is Richard Del Prete .
The authorized official title is Licensed Mental Health Counselor and has the following contact phone number (954) 768-0434.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 8/22/2020.

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 1856	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: 11/14/2023

NPI Synchronization or Removal

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