| Nodelman Counseling & Psychotherapy, Llc | |
|
1881 Ne 26th St Ste 212f Wilton Manors FL 33305-1400 | |
| (754) 946-6600 | |
| Not Available |
| Full Name | Nodelman Counseling & Psychotherapy, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1881 Ne 26th St Ste 212f, Wilton Manors, Florida |
| Authorized Official Name and Position | Jordan Nodelman (OWNER) |
| Authorized Official Contact | 7543006990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nodelman Counseling & Psychotherapy, Llc 1931 Cordova Rd # 152 Fort Lauderdale FL 33316-2157 Ph: () - | Nodelman Counseling & Psychotherapy, Llc 1881 Ne 26th St Ste 212f Wilton Manors FL 33305-1400 Ph: (754) 946-6600 |
| NPI Number | 1770161408 |
|---|---|
| Provider Enumeration Date | 04/01/2021 |
| Last Update Date | 02/14/2024 |
| Certification Date | 02/14/2024 |
| Medicare PECOS PAC ID | 8628472032 |
|---|---|
| Medicare Enrollment ID | O20210806002665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770161408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jordan Matthew Nodelman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770049116 PECOS PAC ID: 3476961053 Enrollment ID: I20210420001802 |
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