DIMITRA THEOHARIS PSYD LMHC PA NPI 1841612496

NPI Information

  • NPI: 1841612496
  • Provider Name: DIMITRA THEOHARIS PSYD LMHC PA
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 150 E SAMPLE RD
    SUITE 340
    POMPANO BEACH, FL
    ZIP 33064
  • Phone: (954) 783-0035

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NPI Details

DIMITRA THEOHARIS PSYD LMHC PA is a mental health counselor in Pompano Beach, FL. DIMITRA THEOHARIS PSYD LMHC PA NPI is 1841612496. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

150 E SAMPLE RD
SUITE 340
POMPANO BEACH, FL
ZIP 33064-550
Phone: (954) 783-0035
Fax: (954) 943-2771

The provider's authorized official is Dimitra Theoharis .
The authorized official title is President and has the following contact phone number (954) 783-0035.

The enumeration date for this NPI number is 1/16/2014 and was last updated on 1/16/2014.

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
1101YM0800XCounselorMental 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: 3/30/2025

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