| Therapeutically Beautiful, Llc | |
|
8400 N University Dr Ste 111 Tamarac FL 33321-1700 | |
| (954) 361-5032 | |
| Not Available |
| Full Name | Therapeutically Beautiful, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8400 N University Dr Ste 111, Tamarac, Florida |
| Authorized Official Name and Position | Alicia-ann Samuel (EXECUTIVE DIRECTOR/ PRACTITIONER) |
| Authorized Official Contact | 9543615032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutically Beautiful, Llc 8400 N University Dr Ste 111 Tamarac FL 33321-1700 Ph: (954) 361-5032 | Therapeutically Beautiful, Llc 8400 N University Dr Ste 111 Tamarac FL 33321-1700 Ph: (954) 361-5032 |
| NPI Number | 1225597891 |
|---|---|
| Provider Enumeration Date | 03/13/2019 |
| Last Update Date | 08/12/2020 |
| Certification Date | 08/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225597891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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