Healthcare Provider Details

I. General information

NPI: 1801040860
Provider Name (Legal Business Name): DRUG TESTING AND COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2008
Last Update Date: 08/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2677 FOREST HILL BLVD STE 102
WEST PALM BEACH FL
33406-5949
US

IV. Provider business mailing address

2677 FOREST HILL BLVD STE 102
WEST PALM BEACH FL
33406-5949
US

V. Phone/Fax

Practice location:
  • Phone: 561-433-0123
  • Fax: 561-967-3484
Mailing address:
  • Phone: 561-433-0123
  • Fax: 561-967-3484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY0005314
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH9406
License Number StateFL

VIII. Authorized Official

Name: DR. LAUREN ELIZABETH GILLESPIE
Title or Position: CLINICAL DIRECTOR
Credential: D.C.
Phone: 561-433-0123