Healthcare Provider Details

I. General information

NPI: 1659281905
Provider Name (Legal Business Name): ASMAE NEUROBEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

612 SE 5TH AVE STE 6
FORT LAUDERDALE FL
33301-3142
US

IV. Provider business mailing address

612 SE 5TH AVE STE 6
FORT LAUDERDALE FL
33301-3142
US

V. Phone/Fax

Practice location:
  • Phone: 954-996-3876
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246ZE0500X
TaxonomyEEG Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: LEILA ALAMI
Title or Position: OWNER
Credential: LMHC
Phone: 954-996-3876