MEDICARE: MR. ADAM NADLER LMHC

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	MH5482	FL

General Provider Information

NPI Number	:	1003157132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ADAM NADLER LMHC

Provider Business Mailing Address
First Line	:	8025 NW 66TH TER
Second Line	:
City	:	PARKLAND
State	:	FL
Zip	:	33067-3306
Country	:	US
Telephone Number	:	954-661-7638
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 E HALLANDALE BEACH BLVD STE 719
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-4841
Country	:	US
Telephone Number	:	954-661-7638
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2013
Last Update Date	:	03/14/2013

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