| The Center For Individual And Relational Development | |
|
12773 W Forest Hill Blvd Suite 214 Wellington FL 33414-4767 | |
| (561) 791-7741 | |
| (561) 383-7067 |
| Full Name | The Center For Individual And Relational Development |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 12773 W Forest Hill Blvd, Wellington, Florida |
| Authorized Official Name and Position | Melissa Dawn Schwartz (PRESIDENT) |
| Authorized Official Contact | 5617917741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Individual And Relational Development 1143 Lake Breeze Dr Wellington FL 33414-7946 Ph: (561) 791-7741 | The Center For Individual And Relational Development 12773 W Forest Hill Blvd Suite 214 Wellington FL 33414-4767 Ph: (561) 791-7741 |
| NPI Number | 1467535831 |
|---|---|
| Provider Enumeration Date | 10/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467535831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MT1796, SW5422 (Florida) | Primary |
| 101YM0800X | Counselor - Mental Health | MT 1729 (Florida) | Secondary |
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