| Fort Lauderdale Couples, Family And Individual Therapy, Llc | |
|
1881 Ne 26th St Suite 221 Wilton Manors FL 33305-1416 | |
| (954) 789-9061 | |
| Not Available |
| Full Name | Fort Lauderdale Couples, Family And Individual Therapy, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1881 Ne 26th St, Wilton Manors, Florida |
| Authorized Official Name and Position | Douglas B Nelson (OWNER) |
| Authorized Official Contact | 9547899061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Lauderdale Couples, Family And Individual Therapy, Llc 1881 Ne 26th St Suite 221 Wilton Manors FL 33305-1416 Ph: (954) 789-9061 | Fort Lauderdale Couples, Family And Individual Therapy, Llc 1881 Ne 26th St Suite 221 Wilton Manors FL 33305-1416 Ph: (954) 789-9061 |
| NPI Number | 1235578808 |
|---|---|
| Provider Enumeration Date | 06/17/2013 |
| Last Update Date | 10/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235578808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH11689 (Florida) | Primary |
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