MEDICARE: MR. NAOMI BERGER LMFT, LMHC. CAP, CED

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	CAP1934	FL
2	101YM0800X	Mental Health Counselor	MHC4945	FL
3	106H00000X	Marriage & Family Therapist	MT1665	FL

General Provider Information

NPI Number	:	1942479332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NAOMI BERGER LMFT, LMHC. CAP, CED

Provider Business Mailing Address
First Line	:	1900 GLADES RD
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33431-7378
Country	:	US
Telephone Number	:	561-988-0375
Fax Number	:	561-241-1972

Provider Business Practice Location Address
First Line	:	1900 GLADES RD STE 352
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33431-7333
Country	:	US
Telephone Number	:	561-988-0375
Fax Number	:	561-241-1972

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

Provider Enumeration Date	:	02/29/2008
Last Update Date	:	07/26/2010

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