Healthcare Provider Details

I. General information

NPI: 1083604037
Provider Name (Legal Business Name): PSYCHWORKS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 N UNIVERSITY DR SUITE 106A
CORAL SPRINGS FL
33071-6096
US

IV. Provider business mailing address

1515 N UNIVERSITY DR SUITE 106A
CORAL SPRINGS FL
33071-6096
US

V. Phone/Fax

Practice location:
  • Phone: 954-344-2022
  • Fax: 954-753-3585
Mailing address:
  • Phone: 954-344-2022
  • Fax: 954-753-3585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberMH 0003659
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberMH 0003659
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH 3659
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License NumberMH 0003464
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberMH 0003659
License Number StateFL
# 6
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH 0003464
License Number StateFL

VIII. Authorized Official

Name: MS. SUZANNE R ALLYN
Title or Position: PRESIDENT & CEO
Credential: LMHC
Phone: 954-344-2022