Healthcare Provider Details

I. General information

NPI: 1437922887
Provider Name (Legal Business Name): NEUROHEALTH TREATMENT CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2023
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 E BROWARD BLVD STE 204
FT LAUDERDALE FL
33301-2121
US

IV. Provider business mailing address

1212 E BROWARD BLVD STE 204
FT LAUDERDALE FL
33301-2121
US

V. Phone/Fax

Practice location:
  • Phone: 954-417-7575
  • Fax:
Mailing address:
  • Phone: 954-417-7575
  • 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 Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JESSE BERNHEIM
Title or Position: MGR
Credential:
Phone: 954-417-7575