| Mitchell Roth | |
|
200 Knuth Rd Ste 254 Boynton Beach FL 33436-4637 | |
| (561) 740-5642 | |
| Not Available |
| Full Name | Mitchell Roth |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 200 Knuth Rd Ste 254, Boynton Beach, Florida |
| Authorized Official Name and Position | Mitchell Roth (LMHC/OWNER) |
| Authorized Official Contact | 5617405642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell Roth 200 Knuth Rd Ste 254 Boynton Beach FL 33436-4637 Ph: (561) 740-5642 | Mitchell Roth 200 Knuth Rd Ste 254 Boynton Beach FL 33436-4637 Ph: (561) 740-5642 |
| NPI Number | 1699263327 |
|---|---|
| Provider Enumeration Date | 04/27/2018 |
| Last Update Date | 04/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699263327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 14604 (Florida) | Primary |
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