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NPI Code Detail

MEDICARE: TEMPLE MENTAL HEALTH LLC

MEDICARE: TEMPLE MENTAL HEALTH 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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1063340321
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEMPLE MENTAL HEALTH LLC
Provider Business Mailing Address
First Line : 1801 POLK ST UNIT 220342
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33022-5018
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1801 POLK ST UNIT 220342
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33022-5018
Country : US
Telephone Number : 954-228-0794
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TAMECCA NEELY
Credential :
Telephone Number : 954-228-0794
Provider Enumeration Date : 05/08/2026
Last Update Date : 05/08/2026

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Directions to “TEMPLE MENTAL HEALTH LLC ” Practice Location

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