=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871471656
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE PSYCH FIRM, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/21/2025
-----------------------------------------------------
Last Update Date | 08/21/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15263 SUMMER LAKE DR # 1184
-----------------------------------------------------
City | DELRAY BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33446-3452
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-710-1903
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6586 ATLANTIC AVE # 1184
-----------------------------------------------------
City | DELRAY BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33446-1617
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-710-1903
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | DR. TASHA HIBBERT
-----------------------------------------------------
Credential | PSY.D.
-----------------------------------------------------
Telephone | 561-710-1903
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------