MEDICARE: HEADEL TREATMENT 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
1	363LP2300X	Primary Care Nurse Practitioner

General Provider Information

NPI Number	:	1821960113
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEADEL TREATMENT SERVICES

Provider Business Mailing Address
First Line	:	201 N UNIVERSITY DR STE 103A
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-2001
Country	:	US
Telephone Number	:	954-218-6182
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 N UNIVERSITY DR STE 103A
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-2001
Country	:	US
Telephone Number	:	954-218-6182
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VALRIE YOUNGS
Credential	:
Telephone Number	:	954-218-6182

Provider Enumeration Date	:	09/18/2025
Last Update Date	:	09/18/2025

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Directions to “HEADEL TREATMENT SERVICES ” Practice Location

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