Healthcare Provider Details

I. General information

NPI: 1477761245
Provider Name (Legal Business Name): PAUL J SCHWEINLER LMHC, NCC, DAPA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 03/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11776 W SAMPLE RD SUITE 104
CORAL SPRINGS FL
33065-3180
US

IV. Provider business mailing address

11776 W SAMPLE RD SUITE 104
CORAL SPRINGS FL
33065-3180
US

V. Phone/Fax

Practice location:
  • Phone: 954-753-0467
  • Fax: 954-341-3611
Mailing address:
  • Phone: 954-753-0467
  • Fax: 954-341-3611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH5920
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberMH5920
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberMH5920
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License NumberMH5920
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: