| Fifth Street Counseling Center Iv, Inc | |
|
4121 Nw 5th St 206 Plantation FL 33317-2120 | |
| (954) 797-5222 | |
| (954) 797-7677 |
| Full Name | Fifth Street Counseling Center Iv, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4121 Nw 5th St, Plantation, Florida |
| Authorized Official Name and Position | Kathleen M Rhodes (PRESIDENT) |
| Authorized Official Contact | 9547975222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fifth Street Counseling Center Iv, Inc 4121 Nw 5th St 206 Plantation FL 33317-2120 Ph: (954) 797-5222 | Fifth Street Counseling Center Iv, Inc 4121 Nw 5th St 206 Plantation FL 33317-2120 Ph: (954) 797-5222 |
| NPI Number | 1215277199 |
|---|---|
| Provider Enumeration Date | 02/28/2013 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215277199 | NPI | - | NPPES |
| 1104153311 | Other | FL | BLUE CROSS BLUE SHIELD TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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