East Las Olas Psychological Group in Fort Lauderdale - Mental Health
East Las Olas Psychological Group - NPI 1306068622
East Las Olas Psychological Group is a Mental Health in Fort Lauderdale, Florida. East Las Olas Psychological Group practices all healthcare services and medical treatments related to Mental Health. The NPI Number for East Las Olas Psychological Group is 1306068622. The last update date is 2020-08-22.
East Las Olas Psychological Group's current location address is 108 Se 8th Avenue, Suite 203, Fort Lauderdale, Florida. You can contact this provider via phone number 9547680434 and fax number 9547680285. The mailing address for East Las Olas Psychological Group is 108 Se 8th Avenue, Suite 203, Fort Lauderdale, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Las Olas Psychological Group |
|---|---|
| Address | 108 Se 8th Avenue, Suite 203, Fort Lauderdale, Florida |
| Phone Number | 9547680434 |
| Fax Number | 9547680285 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Del Prete P Richard |
| Credentials | LMHC |
| Telephone Number | 9647680434 |
NPI Number Detail
| NPI Number | 1306068622 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 108 Se 8th Avenue, Suite 203 |
|---|---|
| City | Fort Lauderdale |
| State | Florida (FL) |
| Post Code | 33140 |
| Phone Number | 9547680434 |
| Fax Number | 9547680285 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | MENTAL HEALT |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique identification code assigned to East Las Olas Psychological Group by the Centers for Medicare & Medicaid Services?
The East Las Olas Psychological Group has been issued the NPI (National Provider Identifier) 1306068622. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of East Las Olas Psychological Group?
The East Las Olas Psychological Group is physically situated at 108 Se 8Th Avenue, Suite 203, in the city of Fort Lauderdale, state of FL, with the postal code 33140.
What is the East Las Olas Psychological Group's specialty and taxonomy code?
The East Las Olas Psychological Group's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date did the East Las Olas Psychological Group receive its 1306068622 assignment from the Centers for Medicare & Medicaid Services?
The East Las Olas Psychological Group was assigned its 1306068622 by the Centers for Medicare & Medicaid Services on 2007-05-03.
When was the East Las Olas Psychological Group's information last updated?
The East Las Olas Psychological Group's information was last updated on 2020-08-22.