MEDICARE: RYAN STEINBERG LMHC

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	MH15437	FL

General Provider Information

NPI Number	:	1972154755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN STEINBERG LMHC

Provider Business Mailing Address
First Line	:	950 N FEDERAL HWY STE 115
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-4314
Country	:	US
Telephone Number	:	954-553-7705
Fax Number	:

Provider Business Practice Location Address
First Line	:	950 N FEDERAL HWY STE 115
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-4314
Country	:	US
Telephone Number	:	954-553-7705
Fax Number	:

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

Provider Enumeration Date	:	09/24/2019
Last Update Date	:	10/14/2021

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