Healthcare Provider Details

I. General information

NPI: 1174047492
Provider Name (Legal Business Name): B&K COUNSELING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1897 PALM BEACH LAKES BLVD STE 110
WEST PALM BEACH FL
33409-3509
US

IV. Provider business mailing address

1897 PALM BEACH LAKES BLVD STE 110
WEST PALM BEACH FL
33409-3509
US

V. Phone/Fax

Practice location:
  • Phone: 561-346-4092
  • Fax: 561-683-7401
Mailing address:
  • Phone: 561-346-4092
  • Fax: 561-683-7401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberMH5859
License Number StateFL

VIII. Authorized Official

Name: BEN DRAKE TAYLOR
Title or Position: PRESIDENT
Credential: LMHC
Phone: 561-346-4092