| None | |
|
10400 Griffin Rd Ste 109 Davie FL 33328-3320 | |
| (954) 947-1340 | |
| Not Available |
| Full Name | None |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10400 Griffin Rd Ste 109, Davie, Florida |
| Authorized Official Name and Position | Judith Hakiel-calcaterra (OWNER/THERAPIST) |
| Authorized Official Contact | 9549471340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| None 9155 Old Orchard Rd Davie FL 33328-6709 Ph: (954) 947-1340 | None 10400 Griffin Rd Ste 109 Davie FL 33328-3320 Ph: (954) 947-1340 |
| NPI Number | 1447793864 |
|---|---|
| Provider Enumeration Date | 12/02/2016 |
| Last Update Date | 02/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447793864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH11434 (Florida) | Primary |
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