MEDICARE: INTERVENTION STRATEGIES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH4059	FL

General Provider Information

NPI Number	:	1003020652
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERVENTION STRATEGIES, INC.

Provider Business Mailing Address
First Line	:	297 NE 6TH AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-5514
Country	:	US
Telephone Number	:	561-243-0407
Fax Number	:	561-243-0030

Provider Business Practice Location Address
First Line	:	297 NE 6TH AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-5514
Country	:	US
Telephone Number	:	561-243-0407
Fax Number	:	561-243-0030

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HAROLD MARK JONAS
Credential	:	PHD
Telephone Number	:	561-243-0407

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	08/31/2007

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