Healthcare Provider Details

I. General information

NPI: 1649183591
Provider Name (Legal Business Name): MS. NOGA ZIMERMAN BEN-YOSEPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22037 STATE ROAD 7
BOCA RATON FL
33428-4219
US

IV. Provider business mailing address

12145 BOCA RESERVE LN
BOCA RATON FL
33428-4600
US

V. Phone/Fax

Practice location:
  • Phone: 561-810-6631
  • Fax:
Mailing address:
  • Phone: 561-710-0650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH29866
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: