SAMARITAN COUNSELING CENTER
NPI 1356877047
Community Based Residential Treatment Facility, Mental Illness in Fort Lauderdale, FL
- Organization
- Community Based Residential Treatment Fa...
About SAMARITAN COUNSELING CENTER
This page provides the complete NPI Profile along with additional information for Samaritan Counseling Center, a provider established in Fort Lauderdale, Florida operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1356877047 assigned on May 2017. The practitioner's primary taxonomy code is 320800000X with license number MT3178 (FL). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mr. Mallica David Reynolds Ms. Lmft (Clinical Director)
- NPI
- 1356877047 Verify this NPI
- Provider Name
- SAMARITAN COUNSELING CENTER
- Entity Type
- Organization
- Location Address
- 101 SE 3RD AVENUE FORT LAUDERDALE, FL 33301
- Location Phone
- (561) 401-8527
- Mailing Address
- 6760 N PINE ISLAND RD TAMARAC, FL 33321
- Mailing Phone
- (561) 401-8527
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-02-2017
- Last Update Date
- 05-02-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- License No.
- MT3178
- License State
- FL
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356877047, enumerated as an "organization" on May 02, 2017.
The provider is located at 101 SE 3RD AVENUE FORT LAUDERDALE, FL 33301 and the phone number is (561) 401-8527.
Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
