| NPI | 1174059398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE M KREISBERG Owner/ Licensed Counselor 954-475-9503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH0007) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL MH5055) |
| 101YM0800X Counselor Mental Health (Licence: FL MH1868) | |
| 101YM0800X Counselor Mental Health (Licence: FL MH10854) | |
| 103T00000X Psychologist (Licence: FL PY0003936) | |
| 103TC0700X Psychologist Clinical (Licence: FL PY5840) | |
| 103TC0700X Psychologist Clinical (Licence: FL PY7288) | |
| 1041C0700X Social Worker Clinical (Licence: FL MT2274) | |
| Enumeration Date | 2017-05-08 |
| Last Update Date | 2017-05-08 |