Healthcare Provider Details

I. General information

NPI: 1427753169
Provider Name (Legal Business Name): RECLAIM MENTAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 04/10/2023
Certification Date: 04/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3275 W HILLSBORO BLVD STE 300D
DEERFIELD BEACH FL
33442-9474
US

IV. Provider business mailing address

3275 W HILLSBORO BLVD STE 300D
DEERFIELD BEACH FL
33442-9474
US

V. Phone/Fax

Practice location:
  • Phone: 954-451-2592
  • Fax:
Mailing address:
  • Phone: 954-451-2592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AKIVA M DAUM
Title or Position: OWNER
Credential: MD FAPA
Phone: 954-451-2592