The Community, Llc | |
201 Ne 2nd St Fort Lauderdale FL 33301-1037 | |
(954) 533-9818 | |
Not Available |
Full Name | The Community, Llc |
---|---|
Speciality | Marriage & Family Therapist |
Location | 201 Ne 2nd St, Fort Lauderdale, Florida |
Authorized Official Name and Position | Judith L Bloom (CEO) |
Authorized Official Contact | 9545339818 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Community, Llc 1217 Ne 3rd St Fort Lauderdale FL 33301-1743 Ph: (954) 533-9818 | The Community, Llc 201 Ne 2nd St Fort Lauderdale FL 33301-1037 Ph: (954) 533-9818 |
NPI Number | 1679928600 |
---|---|
Provider Enumeration Date | 04/27/2016 |
Last Update Date | 04/27/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679928600 | NPI | - | NPPES |
MT2236 | Other | FL | STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | MT2236 (Florida) | Primary |
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› Verified 6 days ago
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