| Anxious Black Girls | |
|
7154 Sportsmans Dr North Lauderdale FL 33068-5456 | |
| (718) 825-1996 | |
| Not Available |
| Full Name | Anxious Black Girls |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7154 Sportsmans Dr, North Lauderdale, Florida |
| Authorized Official Name and Position | Deseray Hamilton (CEO) |
| Authorized Official Contact | 7188251996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anxious Black Girls 7154 Sportsmans Dr North Lauderdale FL 33068-5456 Ph: (718) 825-1996 | Anxious Black Girls 7154 Sportsmans Dr North Lauderdale FL 33068-5456 Ph: (718) 825-1996 |
| NPI Number | 1700466869 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 04/13/2021 |
| Certification Date | 04/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700466869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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