| Amethyst Agency Of Broward | |
|
4850 W Oakland Park Blvd Ste 145 Lauderdale Lakes FL 33313-7277 | |
| (954) 933-3407 | |
| (754) 205-4528 |
| Full Name | Amethyst Agency Of Broward |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4850 W Oakland Park Blvd Ste 145, Lauderdale Lakes, Florida |
| Authorized Official Name and Position | Sandra K Lange (CEO/ PRESIDENT) |
| Authorized Official Contact | 9544015675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amethyst Agency Of Broward 4850 W Oakland Park Blvd Ste 145 Lauderdale Lakes FL 33313-7277 Ph: (954) 933-3407 | Amethyst Agency Of Broward 4850 W Oakland Park Blvd Ste 145 Lauderdale Lakes FL 33313-7277 Ph: (954) 933-3407 |
| NPI Number | 1396253027 |
|---|---|
| Provider Enumeration Date | 01/16/2018 |
| Last Update Date | 12/18/2023 |
| Certification Date | 12/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396253027 | NPI | - | NPPES |
| 107203000 | Medicaid | FL | |
| 1336597590 | Medicaid | FL |
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Osborne Legal Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3500 N State Road 7 Ste 200, Lauderdale Lakes, FL 33319 Phone: 954-274-5448 Fax: 954-484-1216 | |
Florida Medical Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313 Phone: 954-735-6000 | |
Gothrig Healthcare Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2331 N State Road 7 Ste 207, Lauderdale Lakes, FL 33313 Phone: 954-530-6558 Fax: 954-769-1576 | |
Floridas Treatment Center Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4850 W Oakland Park Blvd Ste 102, Lauderdale Lakes, FL 33313 Phone: 954-380-0714 Fax: 877-977-5142 | |
Alina Health Medical Center Corp. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4800 N State Road 7 Ste A, Lauderdale Lakes, FL 33319 Phone: 954-884-5859 | |
Rainbow Behavior Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3001 Nw 49th Ave Ste 203, Lauderdale Lakes, FL 33313 Phone: 786-724-6015 |