NOVA SOUTHEASTERN UNIVERSITY INC NPI 1083342109

NPI Information

  • NPI: 1083342109
  • Provider Name: NOVA SOUTHEASTERN UNIVERSITY, INC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 3151 COLLEGE AVENUE
    MAXWELL MALTZ BUILDING 1ST FLOOR
    DAVIE, FL
    ZIP 33314
  • Phone: (954) 262-3030

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NPI Details

NOVA SOUTHEASTERN UNIVERSITY, INC is a mental health counselor in Davie, FL. NOVA SOUTHEASTERN UNIVERSITY, INC NPI is 1083342109. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3151 COLLEGE AVENUE
MAXWELL MALTZ BUILDING 1ST FLOOR
DAVIE, FL
ZIP 33314
Phone: (954) 262-3030

The provider's authorized official is Lakeitha Baker .
The authorized official title is Credentialing Supervisor and has the following contact phone number (954) 262-9416.

The enumeration date for this NPI number is 8/9/2022 and was last updated on 8/27/2025.

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
1103T00000XPsychologistNo
2103TC1900XPsychologistCounselingNo
3103TF0000XPsychologistFamilyNo
4103TP2701XPsychologistGroup PsychotherapyNo
5106H00000XMarriage & Family TherapistNo
6101YM0800XCounselorMental HealthYes

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: 11/21/2025

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