FIFTH STREET COUNSELING CENTER IV INC NPI 1215277199

NPI Details

FIFTH STREET COUNSELING CENTER IV, INC is a community behavioral health in Plantation, FL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. FIFTH STREET COUNSELING CENTER IV, INC NPI is 1215277199. The provider is registered as an organization entity type.

The provider's business location address is:

4121 NW 5TH ST
206
PLANTATION, FL
ZIP 33317-120
Phone: (954) 797-5222
Fax: (954) 797-7677

The provider's authorized official is Kathleen M Rhodes .
The authorized official title is President and has the following contact phone number (954) 797-5222.

The enumeration date for this NPI number is 2/28/2013 and was last updated on 3/17/2018.

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:

Other Identifiers

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