| Outbound Therapy Llc | |
|
7154 N University Dr Suite 164 Tamarac FL 33321-2916 | |
| (965) 687-1288 | |
| (754) 203-0224 |
| Full Name | Outbound Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7154 N University Dr, Tamarac, Florida |
| Authorized Official Name and Position | Kimbalie Commissiong (OWNER) |
| Authorized Official Contact | 9546871288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outbound Therapy Llc 7154 N University Dr Suite 164 Tamarac FL 33321-2916 Ph: (965) 687-1288 | Outbound Therapy Llc 7154 N University Dr Suite 164 Tamarac FL 33321-2916 Ph: (965) 687-1288 |
| NPI Number | 1558748913 |
|---|---|
| Provider Enumeration Date | 05/05/2015 |
| Last Update Date | 05/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558748913 | NPI | - | NPPES |
| 767061300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW7375 (Florida) | Primary |
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