| Portner Counseling Group | |
|
1800 N Federal Hwy Suite 206 Pompano Beach FL 33062-1034 | |
| (954) 895-6263 | |
| (239) 775-0088 |
| Full Name | Portner Counseling Group |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1800 N Federal Hwy, Pompano Beach, Florida |
| Authorized Official Name and Position | Casey M Portner (MANAGING OWNER) |
| Authorized Official Contact | 9548956263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portner Counseling Group 1800 N Federal Hwy Suite 206 Pompano Beach FL 33062-1034 Ph: (954) 895-6263 | Portner Counseling Group 1800 N Federal Hwy Suite 206 Pompano Beach FL 33062-1034 Ph: (954) 895-6263 |
| NPI Number | 1023460821 |
|---|---|
| Provider Enumeration Date | 07/06/2016 |
| Last Update Date | 07/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023460821 | NPI | - | NPPES |
| 1706AD859301 | Other | FL | STATE DCF LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1706AD859301 (Florida) | Primary |
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