Healthcare Provider Details

I. General information

NPI: 1851103840
Provider Name (Legal Business Name): TOTAL FAMILY BEHAVIORAL HEALTHCARE CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2025
Last Update Date: 01/25/2025
Certification Date: 01/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 W OAKLAND PARK BLVD STE 214
SUNRISE FL
33351-1126
US

IV. Provider business mailing address

PO BOX 16472
PLANTATION FL
33318-6472
US

V. Phone/Fax

Practice location:
  • Phone: 954-431-7676
  • Fax: 888-538-2226
Mailing address:
  • Phone: 305-778-3157
  • Fax: 888-538-2226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MISS MARJORIE MAY GILLESPIE
Title or Position: PRESIDENT
Credential: PHD
Phone: 305-778-3157