HOPE ABUNDANCE BEHAVIORAL HEALTH LLC NPI 1619584307

NPI Information

NPI: 1619584307
Provider Name: HOPE ABUNDANCE BEHAVIORAL HEALTH LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1810 E OAKLAND PARK BLVD APT 12
FORT LAUDERDALE, FL
ZIP 33306
Phone: (954) 560-4279
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HOPE ABUNDANCE BEHAVIORAL HEALTH LLC is an adult mental health clinic center in Fort Lauderdale, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. HOPE ABUNDANCE BEHAVIORAL HEALTH LLC NPI is 1619584307. The provider is registered as an organization entity type.

The provider's business location address is:

1810 E OAKLAND PARK BLVD APT 12
FORT LAUDERDALE, FL
ZIP 33306-123
Phone: (954) 560-4279
Fax: (954) 522-5174

The provider's authorized official is Imani Ariel Williams-ephriam .
The authorized official title is Owner and has the following contact phone number (954) 560-4279.

The enumeration date for this NPI number is 9/26/2020 and was last updated on 9/26/2020.

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	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	261QM0850X	Clinic/Center	Adult Mental Health	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	1669927653	OTHER		NPI

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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