JUST BE THERAPEUTIC SERVICES NPI 1275038473

NPI Information

NPI: 1275038473
Provider Name: JUST BE THERAPEUTIC SERVICES
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2500 HOLLYWOOD BLVD STE 104
HOLLYWOOD, FL
ZIP 33020
Phone: (786) 353-4622
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JUST BE THERAPEUTIC SERVICES is a mental health counselor in Hollywood, FL. JUST BE THERAPEUTIC SERVICES NPI is 1275038473. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2500 HOLLYWOOD BLVD STE 104
HOLLYWOOD, FL
ZIP 33020-615
Phone: (786) 353-4622
Fax: (954) 944-5937

The provider's authorized official is Sheniqua Dones-wallace .
The authorized official title is Psychotherapist/director and has the following contact phone number (786) 353-4622.

The enumeration date for this NPI number is 3/28/2018 and was last updated on 9/15/2023.

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	MH13004	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	014761500	MEDICAID	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: 5/5/2024

NPI Synchronization or Removal

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