Healthcare Provider Details

I. General information

NPI: 1336680073
Provider Name (Legal Business Name): THE CARING COUCH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2017
Last Update Date: 03/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 EMBASSY DR STE. 10
HOLLYWOOD FL
33026-4573
US

IV. Provider business mailing address

2525 EMBASSY DR STE. 10
HOLLYWOOD FL
33026-4573
US

V. Phone/Fax

Practice location:
  • Phone: 888-686-2485
  • Fax:
Mailing address:
  • Phone: 888-686-2485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH
License Number StateFL

VIII. Authorized Official

Name: PRISCILLA REIS VALADARES
Title or Position: MANAGING MEMBER
Credential: LMHC
Phone: 888-686-2485