Healthcare Provider Details

I. General information

NPI: 1205592680
Provider Name (Legal Business Name): REABLEU LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2021
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 W PALMETTO PARK RD
BOCA RATON FL
33486-3562
US

IV. Provider business mailing address

7750 OKEECHOBEE BLVD
WEST PALM BEACH FL
33411-2104
US

V. Phone/Fax

Practice location:
  • Phone: 954-242-2397
  • Fax:
Mailing address:
  • Phone: 954-242-2397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DARIUS A MURRAY
Title or Position: MENTAL HEALTH COUNSELOR
Credential: CRC, LMHC
Phone: 954-242-2397