Healthcare Provider Details

I. General information

NPI: 1003020652
Provider Name (Legal Business Name): INTERVENTION STRATEGIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 08/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

297 NE 6TH AVE
DELRAY BEACH FL
33483-5514
US

IV. Provider business mailing address

297 NE 6TH AVE
DELRAY BEACH FL
33483-5514
US

V. Phone/Fax

Practice location:
  • Phone: 561-243-0407
  • Fax: 561-243-0030
Mailing address:
  • Phone: 561-243-0407
  • Fax: 561-243-0030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH4059
License Number StateFL

VIII. Authorized Official

Name: DR. HAROLD MARK JONAS
Title or Position: PRESIDENT
Credential: PHD
Phone: 561-243-0407