Healthcare Provider Details

I. General information

NPI: 1336079920
Provider Name (Legal Business Name): ELI ALBERT COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6191 ORANGE DR STE 6153B
DAVIE FL
33314-3454
US

IV. Provider business mailing address

6191 ORANGE DR STE 6153B
DAVIE FL
33314-3454
US

V. Phone/Fax

Practice location:
  • Phone: 561-320-3258
  • Fax:
Mailing address:
  • Phone: 561-320-3258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ELIYAHU ALBERT
Title or Position: OWNER
Credential: LMHC
Phone: 561-320-3258