| West Broward Counseling Center | |
|
12505 Orange Dr Suite 907 Davie FL 33330-4300 | |
| (954) 358-5788 | |
| (954) 358-5790 |
| Full Name | West Broward Counseling Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 12505 Orange Dr, Davie, Florida |
| Authorized Official Name and Position | Shawnda Burns (OWNER) |
| Authorized Official Contact | 9543585788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Broward Counseling Center 12505 Orange Dr Suite 907 Davie FL 33330-4300 Ph: (954) 358-5788 | West Broward Counseling Center 12505 Orange Dr Suite 907 Davie FL 33330-4300 Ph: (954) 358-5788 |
| NPI Number | 1114129160 |
|---|---|
| Provider Enumeration Date | 06/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114129160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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