Healthcare Provider Details

I. General information

NPI: 1982499067
Provider Name (Legal Business Name): DCB COACHING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2025
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2833 EXECUTIVE PARK DR STE 500
WESTON FL
33331-3649
US

IV. Provider business mailing address

2833 EXECUTIVE PARK DR STE 500
WESTON FL
33331-3649
US

V. Phone/Fax

Practice location:
  • Phone: 954-228-5275
  • Fax:
Mailing address:
  • Phone: 954-228-5275
  • Fax:

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: MRS. DEVINA CRUICKSHANK BROWN
Title or Position: OWNER/OPERATOR/EMPLOYEE
Credential: LCSW
Phone: 954-228-5275