Healthcare Provider Details

I. General information

NPI: 1467392001
Provider Name (Legal Business Name): CENTAURESS PSYCH & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7450 NW 33RD ST
LAUDERHILL FL
33319
US

IV. Provider business mailing address

7450 NW 33RD ST
LAUDERHILL FL
33319-4946
US

V. Phone/Fax

Practice location:
  • Phone: 754-300-7775
  • Fax:
Mailing address:
  • Phone: 954-839-4486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ALISHA MARTINA ANDERSON
Title or Position: OWNER
Credential: APRN, PMHNP-BC
Phone: 754-300-7775