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NPI Code Detail

MEDICARE: LABOR OF LOVE PSYCHOTHERAPY LLC

MEDICARE: LABOR OF LOVE PSYCHOTHERAPY LLC
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
1101YM0800XMental Health Counselor
2106H00000XMarriage & Family Therapist
3261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1457839680
Entity Type Code : Organization
Provider Name (Legal Business Name) : LABOR OF LOVE PSYCHOTHERAPY LLC
Provider Business Mailing Address
First Line : 5571 N UNIVERSITY DR STE 101
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33067-4653
Country : US
Telephone Number : 954-227-2530
Fax Number :
Provider Business Practice Location Address
First Line : 5571 N UNIVERSITY DR STE 101
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33067-4653
Country : US
Telephone Number : 954-227-2530
Fax Number :
Authorized Official
Title or Position : LMHC/LMFT
Name : SHARI RANDERSON
Credential :
Telephone Number : 954-227-2530
Provider Enumeration Date : 07/31/2018
Last Update Date : 07/31/2018

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Directions to “LABOR OF LOVE PSYCHOTHERAPY LLC ” Practice Location

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