Healthcare Provider Details

I. General information

NPI: 1548188428
Provider Name (Legal Business Name): FLORIDA RELATIONSHIP INSTITUTE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7520 NW 5TH ST STE 203
PLANTATION FL
33317-1613
US

IV. Provider business mailing address

3060 EL CAMINO REAL
WEST PALM BEACH FL
33409-7827
US

V. Phone/Fax

Practice location:
  • Phone: 561-231-0281
  • Fax:
Mailing address:
  • Phone: 754-971-2691
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: JUSTIN JOHANSEN
Title or Position: OWNER
Credential: LMFT
Phone: 561-231-0281