MEDICARE: LEXA GOLDMAN LMHC, LMFT

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	106H00000X	Marriage & Family Therapist	MT3785	FL
2	101YM0800X	Mental Health Counselor	MH17787	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205285848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEXA GOLDMAN LMHC, LMFT

Provider Business Mailing Address
First Line	:	11011 SHERIDAN ST STE 211
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33026-1531
Country	:	US
Telephone Number	:	954-951-2929
Fax Number	:

Provider Business Practice Location Address
First Line	:	11011 SHERIDAN ST STE 211
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33026-1531
Country	:	US
Telephone Number	:	954-278-9680
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2016
Last Update Date	:	08/04/2022

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