Healthcare Provider Details

I. General information

NPI: 1316982408
Provider Name (Legal Business Name): ARCHWAYS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

919 NE 13TH ST
FT LAUDERDALE FL
33304-2009
US

IV. Provider business mailing address

919 NE 13TH ST
FT LAUDERDALE FL
33304-2009
US

V. Phone/Fax

Practice location:
  • Phone: 954-763-2030
  • Fax: 954-763-9847
Mailing address:
  • Phone: 954-763-2030
  • Fax: 954-763-9847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number1006AD199301
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARIE FAIRCHILD
Title or Position: EXECUTIVE DIRECTOR/CEO
Credential: CSW
Phone: 954-763-2030