| Your Pic Llc | |
|
5555 Hollywood Blvd Ste 302 Hollywood FL 33021-6469 | |
| (954) 701-2147 | |
| Not Available |
| Full Name | Your Pic Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5555 Hollywood Blvd Ste 302, Hollywood, Florida |
| Authorized Official Name and Position | Taly Kadoch (CEO) |
| Authorized Official Contact | 9547012147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Pic Llc 5555 Hollywood Blvd Ste 302 Hollywood FL 33021-6469 Ph: (954) 701-2147 | Your Pic Llc 5555 Hollywood Blvd Ste 302 Hollywood FL 33021-6469 Ph: (954) 701-2147 |
| NPI Number | 1457053449 |
|---|---|
| Provider Enumeration Date | 03/21/2023 |
| Last Update Date | 11/15/2023 |
| Certification Date | 11/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457053449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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