Healthcare Provider Details

I. General information

NPI: 1659960797
Provider Name (Legal Business Name): FIT COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2021
Last Update Date: 01/13/2021
Certification Date: 01/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 N UNIVERSITY DR
CORAL SPRINGS FL
33065-5083
US

IV. Provider business mailing address

5410 NW 49TH AVE
COCONUT CREEK FL
33073-3775
US

V. Phone/Fax

Practice location:
  • Phone: 954-818-5750
  • Fax: 888-245-9698
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. ALICIA MEREDES
Title or Position: OWNER
Credential: LMHC
Phone: 954-818-5750