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PALM BEACH OUTPATIENT DETOX LLC NPI 1972816965


NPI Information

NPI: 1972816965
Provider Name: PALM BEACH OUTPATIENT DETOX, LLC
Classification: Psychologist - 103TP2701X
Entity Type: Organization

Specialization: Group Psychotherapy

CLIA Number: 10D2009591

Address:
7251 W PALMETTO PARK RD
SUITE 204
BOCA RATON, FL
ZIP 33433
Phone: (561) 901-0040
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PALM BEACH OUTPATIENT DETOX, LLC is a group psychotherapy psychologist in Boca Raton, FL. The provider is a psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings. PALM BEACH OUTPATIENT DETOX, LLC NPI is 1972816965. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7251 W PALMETTO PARK RD
SUITE 204
BOCA RATON, FL
ZIP 33433-487
Phone: (561) 901-0040

The provider's authorized official is Steven Scanlan .
The authorized official title is Ceo and has the following contact phone number (561) 901-0040.

The CLIA number assigned to this NPI record is 10D2009591 - other - outpatient detox facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2010 and was last updated on 3/13/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TP2701XPsychologistGroup PsychotherapyYes

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: 4/28/2024

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