MEDICARE: CHRISTOPHER CHECKE LMHC CAP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1013431550
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTOPHER CHECKE LMHC CAP LLC

Provider Business Mailing Address
First Line	:	800 E BROWARD BLVD STE 303
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33301-2024
Country	:	US
Telephone Number	:	954-240-6323
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 E BROWARD BLVD STE 303
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33301-2024
Country	:	US
Telephone Number	:	954-240-6323
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. CHRISTOPHER CHECKE
Credential	:	LMHC
Telephone Number	:	954-240-6323

Provider Enumeration Date	:	07/26/2017
Last Update Date	:	07/21/2022

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