EXULTATION COMMUNITY RESOURCE CENTER NPI 1235782939

NPI Information

  • NPI: 1235782939
  • Provider Name: EXULTATION COMMUNITY RESOURCE CENTER
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 4000 N STATE ROAD 7 STE 401-2
    LAUDERDALE LAKES, FL
    ZIP 33319
  • Phone: (954) 478-5835

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NPI Details

EXULTATION COMMUNITY RESOURCE CENTER is a mental health counselor in Lauderdale Lakes, FL. EXULTATION COMMUNITY RESOURCE CENTER NPI is 1235782939. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4000 N STATE ROAD 7 STE 401-2
LAUDERDALE LAKES, FL
ZIP 33319-804
Phone: (954) 478-5835

The provider's authorized official is Phyllis Mathis .
The authorized official title is Ceo/president and has the following contact phone number (954) 478-5835.

The enumeration date for this NPI number is 7/22/2019 and was last updated on 7/22/2019.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YP2500XCounselorProfessionalNo
3101YS0200XCounselorSchoolNo
4103K00000XBehavior AnalystNo
5103T00000XPsychologistNo
6103TC1900XPsychologistCounselingNo
7103TC2200XPsychologistClinical Child & AdolescentNo
8103TF0000XPsychologistFamilyNo
9104100000XSocial WorkerNo
101041S0200XSocial WorkerSchoolNo
11106E00000XAssistant Behavior AnalystNo
12106S00000XBehavior TechnicianNo
13101YM0800XCounselorMental 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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