Healthcare Provider Details

I. General information

NPI: 1780010801
Provider Name (Legal Business Name): MAP TO HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2013
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 MIDDLE RIVER DR STE 114
FORT LAUDERDALE FL
33304-3559
US

IV. Provider business mailing address

915 MIDDLE RIVER DR STE 114
FORT LAUDERDALE FL
33304-3586
US

V. Phone/Fax

Practice location:
  • Phone: 954-368-0888
  • Fax: 954-212-2227
Mailing address:
  • Phone: 954-368-0888
  • Fax: 954-212-2227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: JESSICA ARBAUGH
Title or Position: VP, PAYOR SERVICES
Credential:
Phone: 954-368-0888