MEDICARE: THERAPEUTICALLY SPEAKING

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	MH6625	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447574322
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPEUTICALLY SPEAKING

Provider Business Mailing Address
First Line	:	2020 NE 163RD ST
Second Line	:	SUITE 300
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-4927
Country	:	US
Telephone Number	:	305-949-1515
Fax Number	:	305-949-1518

Provider Business Practice Location Address
First Line	:	2020 NE 163RD ST
Second Line	:	SUITE 300
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-4927
Country	:	US
Telephone Number	:	305-949-1515
Fax Number	:	305-949-1518

Authorized Official
Title or Position	:	PSYCHOTHERAPIST/DIRECTOR OF CLINICA
Name	:	DR. PAMELA DENISE SPEARS
Credential	:	PH.D.
Telephone Number	:	305-949-1515

Provider Enumeration Date	:	03/20/2010
Last Update Date	:	05/14/2010

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Directions to “THERAPEUTICALLY SPEAKING ” Practice Location

Language	Start Address	Practice Location

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