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NPI Code Detail

MEDICARE: PROFESSIONAL COUNSELING SERVICES

MEDICARE: PROFESSIONAL COUNSELING SERVICES
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
11041C0700XClinical Social Worker5654FL

General Provider Information

NPI Number : 1548439011
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROFESSIONAL COUNSELING SERVICES
Provider Business Mailing Address
First Line : 450 N PARK RD
Second Line : STE 504
City : HOLLYWOOD
State : FL
Zip : 33021
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 450 N PARK RD STE 504
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-6918
Country : US
Telephone Number : 954-962-5511
Fax Number :
Authorized Official
Title or Position : THERAPIST
Name : LINDA OFFNER
Credential :
Telephone Number : 954-962-5511
Provider Enumeration Date : 02/28/2008
Last Update Date : 02/28/2008

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Directions to “PROFESSIONAL COUNSELING SERVICES ” Practice Location

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