Myself Discovery, Llc | |
400 Se 12th St Ft Lauderdale FL 33316-1937 | |
(954) 524-2217 | |
Not Available |
Full Name | Myself Discovery, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 400 Se 12th St, Ft Lauderdale, Florida |
Authorized Official Name and Position | Debby Gottlieb (PRESIDENT) |
Authorized Official Contact | 9543285429 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Myself Discovery, Llc 400 Se 12th St Ft Lauderdale FL 33316-1937 Ph: (954) 524-2217 | Myself Discovery, Llc 400 Se 12th St Ft Lauderdale FL 33316-1937 Ph: (954) 524-2217 |
NPI Number | 1114202728 |
---|---|
Provider Enumeration Date | 10/14/2011 |
Last Update Date | 12/12/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114202728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | SW10552 (Florida) | Primary |
1041C0700X | Social Worker - Clinical | SW10552 (Florida) | Secondary |
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American Therapeutic Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 W Commercial Blvd, Ft Lauderdale, FL 33309 Phone: 954-938-0919 Fax: 954-938-6804 | |
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