| Lgw Behavioral Health Inc | |
|
1400 E Hillsboro Blvd Ste 200e Deerfield Beach FL 33441-4202 | |
| (954) 587-7771 | |
| Not Available |
| Full Name | Lgw Behavioral Health Inc |
|---|---|
| Speciality | Psychologist - Addiction (substance Use Disorder) |
| Location | 1400 E Hillsboro Blvd Ste 200e, Deerfield Beach, Florida |
| Authorized Official Name and Position | Teresa Tauriello (OFFICE MANAGER) |
| Authorized Official Contact | 9545877771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lgw Behavioral Health Inc 6278 N Federal Hwy Fort Lauderdale FL 33308-1916 Ph: (954) 587-7771 | Lgw Behavioral Health Inc 1400 E Hillsboro Blvd Ste 200e Deerfield Beach FL 33441-4202 Ph: (954) 587-7771 |
| NPI Number | 1285952366 |
|---|---|
| Provider Enumeration Date | 05/13/2010 |
| Last Update Date | 05/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285952366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | ME52952 (Florida) | Primary |
| 104100000X | Social Worker | SW6206 (Florida) | Secondary |
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