SOUTHEASTERN CLINICAL SPECIALTIES INC NPI 1912226770

NPI Information

  • NPI: 1912226770
  • Provider Name: SOUTHEASTERN CLINICAL SPECIALTIES INC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Doing Business As: THE PRAXIS PROGRAM
  • Address: 2303 HOLLYWOOD BLVD STE 12
    HOLLYWOOD, FL
    ZIP 33020
  • Phone: (727) 415-9185

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NPI Details

SOUTHEASTERN CLINICAL SPECIALTIES INC is an addiction (substance use disorder) counselor in Hollywood, FL. SOUTHEASTERN CLINICAL SPECIALTIES INC NPI is 1912226770. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Praxis Program.

The provider's business location address is:

2303 HOLLYWOOD BLVD STE 12
HOLLYWOOD, FL
ZIP 33020-768
Phone: (727) 415-9185

The provider's authorized official is Maxine A Michael .
The authorized official title is President and has the following contact phone number (727) 415-9185.

The enumeration date for this NPI number is 5/19/2010 and was last updated on 5/19/2010.

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)Yes

What is NPI?

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This page was last updated on: 11/21/2025

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