Healthcare Provider Details

I. General information

NPI: 1265948756
Provider Name (Legal Business Name): ABREU'S PSYCHOLOGICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2017
Last Update Date: 05/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 N COMMERCE PARKWAY SUITE 210
WESTON FL
33326
US

IV. Provider business mailing address

1625 N COMMERCE PARKWAY SUITE 210
WESTON FL
33326
US

V. Phone/Fax

Practice location:
  • Phone: 954-864-1290
  • Fax:
Mailing address:
  • Phone: 954-864-1290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. VANJA BEATRIZ ABREU
Title or Position: DIRECTOR
Credential: PSY. D.
Phone: 954-864-1290