MEDICARE: NEUROHEALTH TREATMENT CENTERS

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1437922887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROHEALTH TREATMENT CENTERS

Provider Business Mailing Address
First Line	:	1212 E BROWARD BLVD STE 204
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33301-2121
Country	:	US
Telephone Number	:	954-417-7575
Fax Number	:

Provider Business Practice Location Address
First Line	:	1212 E BROWARD BLVD STE 204
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33301-2121
Country	:	US
Telephone Number	:	954-417-7575
Fax Number	:

Authorized Official
Title or Position	:	MGR
Name	:	JESSE BERNHEIM
Credential	:
Telephone Number	:	954-417-7575

Provider Enumeration Date	:	11/06/2023
Last Update Date	:	05/05/2025

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