BROWARD CENTER FOR COUNSELING NPI 1174059398

NPI Information

NPI: 1174059398
Provider Name: BROWARD CENTER FOR COUNSELING
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
8030 PETERS RD
SUITE D-106
PLANTATION, FL
ZIP 33324
Phone: (954) 475-9503
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BROWARD CENTER FOR COUNSELING is a mental health counselor in Plantation, FL. BROWARD CENTER FOR COUNSELING NPI is 1174059398. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

8030 PETERS RD
SUITE D-106
PLANTATION, FL
ZIP 33324-038
Phone: (954) 475-9503
Fax: (954) 476-2369

The provider's authorized official is Lawrence M Kreisberg .
The authorized official title is Owner/ Licensed Counselor and has the following contact phone number (954) 475-9503.

The enumeration date for this NPI number is 5/8/2017 and was last updated on 5/8/2017.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	MH5055	FLORIDA	No
2	101YM0800X	Counselor	Mental Health	MH1868	FLORIDA	No
3	101YM0800X	Counselor	Mental Health	MH10854	FLORIDA	No
4	103T00000X	Psychologist		PY0003936	FLORIDA	No
5	103TC0700X	Psychologist	Clinical	PY5840	FLORIDA	No
6	103TC0700X	Psychologist	Clinical	PY7288	FLORIDA	No
7	1041C0700X	Social Worker	Clinical	MT2274	FLORIDA	No
8	101YM0800X	Counselor	Mental Health	MH0007	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	019032900	MEDICAID	FLORIDA
2	1790834000	MEDICARE UPIN	FLORIDA

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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