| The Community, Llc | |
|
201 Ne 2nd St Fort Lauderdale FL 33301-1037 | |
| (954) 533-9818 | |
| Not Available |
| Full Name | The Community, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 201 Ne 2nd St, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Judith L Bloom (CEO) |
| Authorized Official Contact | 9545339818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Community, Llc 1217 Ne 3rd St Fort Lauderdale FL 33301-1743 Ph: (954) 533-9818 | The Community, Llc 201 Ne 2nd St Fort Lauderdale FL 33301-1037 Ph: (954) 533-9818 |
| NPI Number | 1679928600 |
|---|---|
| Provider Enumeration Date | 04/27/2016 |
| Last Update Date | 04/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679928600 | NPI | - | NPPES |
| MT2236 | Other | FL | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT2236 (Florida) | Primary |
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