MEDICARE: LET'S TALK 4 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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1104463173
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LET'S TALK 4 HEALTH, LLC

Provider Business Mailing Address
First Line	:	11622 NW 19TH DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-5778
Country	:	US
Telephone Number	:	954-856-4464
Fax Number	:

Provider Business Practice Location Address
First Line	:	11622 NW 19TH DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-5778
Country	:	US
Telephone Number	:	954-856-4464
Fax Number	:

Authorized Official
Title or Position	:	LICENSED PSYCHOTHERAPIST
Name	:	MS. MICHELLE F ALBO
Credential	:	LMHC
Telephone Number	:	954-515-5505

Provider Enumeration Date	:	12/09/2019
Last Update Date	:	12/09/2019

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Directions to “LET'S TALK 4 HEALTH, LLC ” Practice Location

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