Healthcare Provider Details

I. General information

NPI: 1992033302
Provider Name (Legal Business Name): HERE FOR YOU, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2009
Last Update Date: 11/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 COLORADO AVE SUITE 202
STUART FL
34994-2103
US

IV. Provider business mailing address

300 COLORADO AVE SUITE 202
STUART FL
34994-2103
US

V. Phone/Fax

Practice location:
  • Phone: 772-223-1220
  • Fax: 772-223-1220
Mailing address:
  • Phone: 772-223-1220
  • Fax: 772-223-1220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JO ELLEN DYER
Title or Position: CEO
Credential: LCSW
Phone: 772-223-1220