| A Unique Therapy Center, Pa | |
|
7100 Camino Real Ste 302 Boca Raton FL 33433-5510 | |
| (561) 300-4066 | |
| (561) 409-4383 |
| Full Name | A Unique Therapy Center, Pa |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 7100 Camino Real Ste 302, Boca Raton, Florida |
| Authorized Official Name and Position | Martha Latz (OWNER/CEO) |
| Authorized Official Contact | 5613004066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Unique Therapy Center, Pa 7100 Camino Real Ste 302 Boca Raton FL 33433-5510 Ph: (561) 300-4066 | A Unique Therapy Center, Pa 7100 Camino Real Ste 302 Boca Raton FL 33433-5510 Ph: (561) 300-4066 |
| NPI Number | 1528839727 |
|---|---|
| Provider Enumeration Date | 01/16/2024 |
| Last Update Date | 01/16/2024 |
| Certification Date | 01/16/2024 |
| Medicare PECOS PAC ID | 2466899810 |
|---|---|
| Medicare Enrollment ID | O20240321002215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528839727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Martha Latz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1356462741 PECOS PAC ID: 1951546340 Enrollment ID: I20240321002355 |
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