| Walk Tall Counseling Center Llc | |
|
150 S Pine Island Rd Ste 300 Plantation FL 33324-2665 | |
| (570) 540-3465 | |
| Not Available |
| Full Name | Walk Tall Counseling Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 150 S Pine Island Rd Ste 300, Plantation, Florida |
| Authorized Official Name and Position | Krystal Farnum (OWNER) |
| Authorized Official Contact | 5705403465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walk Tall Counseling Center Llc 6919 W Broward Blvd Ste 151 Plantation FL 33317-2902 Ph: (570) 540-3465 | Walk Tall Counseling Center Llc 150 S Pine Island Rd Ste 300 Plantation FL 33324-2665 Ph: (570) 540-3465 |
| NPI Number | 1497382766 |
|---|---|
| Provider Enumeration Date | 03/25/2020 |
| Last Update Date | 04/15/2020 |
| Certification Date | 04/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497382766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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