Healthcare Provider Details

I. General information

NPI: 1356040976
Provider Name (Legal Business Name): TWO CHAIRS HEALTH SERVICES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2023
Last Update Date: 05/22/2023
Certification Date: 05/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SE 2ND ST STE 3550
MIAMI FL
33131-2112
US

IV. Provider business mailing address

100 SE 2ND ST STE 3550
MIAMI FL
33131-2112
US

V. Phone/Fax

Practice location:
  • Phone: 415-202-5159
  • Fax: 415-360-5916
Mailing address:
  • Phone: 415-202-5159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: ALEX KATZ
Title or Position: CEO
Credential:
Phone: 415-202-5159