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NPI Code Detail

MEDICARE: SUPPORTIVE HEALING CENTER INC.

MEDICARE: SUPPORTIVE HEALING CENTER 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
11041C0700XClinical Social Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760825681
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUPPORTIVE HEALING CENTER INC.
Provider Business Mailing Address
First Line : 1615 S CONGRESS AVE STE 103
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-6326
Country : US
Telephone Number : 561-917-9997
Fax Number : 561-455-9988
Provider Business Practice Location Address
First Line : 1615 S CONGRESS AVE STE 103
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-6326
Country : US
Telephone Number : 561-917-9997
Fax Number : 561-455-9988
Authorized Official
Title or Position : CO PRESIDENT
Name : LORI BLACKMAN
Credential : L.C.S.W.
Telephone Number : 561-602-4114
Provider Enumeration Date : 04/10/2013
Last Update Date : 06/23/2025

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Directions to “SUPPORTIVE HEALING CENTER INC. ” Practice Location

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