=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427465913
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AFTER HAPPILY EVER AFTER, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/16/2014
-----------------------------------------------------
Last Update Date | 04/03/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8551 W SUNRISE BLVD 206
-----------------------------------------------------
City | PLANTATION
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33322-4007
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-307-4875
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 16881 SW 1ST MNR
-----------------------------------------------------
City | PEMBROKE PINES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33027-1007
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 754-273-5899
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ADAWNA BELL
-----------------------------------------------------
Credential | MS, LMFT
-----------------------------------------------------
Telephone | 754-273-5899
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | MT2899
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------