| Kope Executive Wellness And Psychotherapy | |
|
2901 Ne 33rd Ave Apt 1c Fort Lauderdale FL 33308-7218 | |
| (646) 647-7644 | |
| Not Available |
| Full Name | Kope Executive Wellness And Psychotherapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2901 Ne 33rd Ave Apt 1c, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Kori Grillo (PRESIDENT) |
| Authorized Official Contact | 6466477644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kope Executive Wellness And Psychotherapy 2901 Ne 33rd Ave Apt 1c Fort Lauderdale FL 33308-7218 Ph: () - | Kope Executive Wellness And Psychotherapy 2901 Ne 33rd Ave Apt 1c Fort Lauderdale FL 33308-7218 Ph: (646) 647-7644 |
| NPI Number | 1033884952 |
|---|---|
| Provider Enumeration Date | 08/12/2021 |
| Last Update Date | 08/12/2021 |
| Certification Date | 08/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033884952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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