| Breakwater Psychological Trauma & Wellness Group, Llc | |
|
6971 N Federal Hwy Suite 301 Boca Raton FL 33487-1656 | |
| (754) 444-6313 | |
| Not Available |
| Full Name | Breakwater Psychological Trauma & Wellness Group, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6971 N Federal Hwy, Boca Raton, Florida |
| Authorized Official Name and Position | Bart Plaskoff (MANAGING MEMBER) |
| Authorized Official Contact | 7544446313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breakwater Psychological Trauma & Wellness Group, Llc 1198 Hillsboro Mile Unit 316 Hillsboro Beach FL 33062-1530 Ph: (754) 444-6313 | Breakwater Psychological Trauma & Wellness Group, Llc 6971 N Federal Hwy Suite 301 Boca Raton FL 33487-1656 Ph: (754) 444-6313 |
| NPI Number | 1205286002 |
|---|---|
| Provider Enumeration Date | 06/13/2016 |
| Last Update Date | 06/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205286002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ISW9679 (Florida) | Primary |
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