Healthcare Provider Details

I. General information

NPI: 1831526433
Provider Name (Legal Business Name): WILLIAM EBERT FLAXMAN II MS, LMHC, NCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: MR. WILLIAM ALBERT EBERT II

II. Dates (important events)

Enumeration Date: 09/27/2013
Last Update Date: 08/25/2022
Certification Date: 08/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1680 MICHIGAN AVE STE 912
MIAMI BEACH FL
33139-2550
US

IV. Provider business mailing address

1300 WASHINGTON AVE UNIT 154
MIAMI BEACH FL
33119-2762
US

V. Phone/Fax

Practice location:
  • Phone: 305-534-0503
  • Fax:
Mailing address:
  • Phone: 727-313-7157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH18723
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: