Healthcare Provider Details

I. General information

NPI: 1982116554
Provider Name (Legal Business Name): JOY BERKHEIMER LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2017
Last Update Date: 11/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 W PALMETTO PARK RD STE 210
BOCA RATON FL
33433-3430
US

IV. Provider business mailing address

5440 NW 41ST WAY
COCONUT CREEK FL
33073-5040
US

V. Phone/Fax

Practice location:
  • Phone: 786-423-2648
  • Fax:
Mailing address:
  • Phone: 786-423-2648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMT3402
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: