Healthcare Provider Details

I. General information

NPI: 1609523307
Provider Name (Legal Business Name): JUNIE ESCARMENT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2022
Last Update Date: 04/19/2024
Certification Date: 04/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15800 PINES BLVD, SUITE 300, #3232
PEMBROKE PINES FL
33027-1212
US

IV. Provider business mailing address

7901 4TH ST N # 20088
ST PETERSBURG FL
33702-4305
US

V. Phone/Fax

Practice location:
  • Phone: 954-246-0162
  • Fax:
Mailing address:
  • Phone: 954-246-0162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberSW19395
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: