Healthcare Provider Details

I. General information

NPI: 1134249816
Provider Name (Legal Business Name): CADENZA CENTER FOR PSYCHOTHERAPY & THE ARTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 06/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 N PARK RD SUITE 400
HOLLYWOOD FL
33021-6917
US

IV. Provider business mailing address

450 N PARK RD SUITE 400
HOLLYWOOD FL
33021-6917
US

V. Phone/Fax

Practice location:
  • Phone: 954-925-3191
  • Fax: 954-925-3193
Mailing address:
  • Phone: 954-925-3191
  • Fax: 954-925-3193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY7496
License Number StateFL

VIII. Authorized Official

Name: DR. MICHELLE RENEE HINTZ
Title or Position: OWNER
Credential: PSYD, MT-BC
Phone: 954-925-3191