EASTERN FAMILY TRAUMA TREATMENT CENTER, LLC
NPI 1972478931
Clinic/Center - Rehabilitation, Substance Use Disorder in Hollywood, FL
About Eastern Family Trauma Treatment Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EASTERN FAMILY TRAUMA TREATMENT CENTER, LLC (NPI 1972478931) is a healthcare organization registered as a rehabilitation, substance use disorder in Hollywood, Florida and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through November 16, 2027 and lists Katia Tikhonravova, Owner, Clinical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2334148
Eastern Family Trauma Treatment Center LLC · Hollywood, FLFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Eastern Family Trauma Treatment Center, LLC's NPI number?
The NPI number for Eastern Family Trauma Treatment Center, LLC is 1972478931. It was assigned to this organization in the NPPES registry on October 9, 2025.
Where is Eastern Family Trauma Treatment Center, LLC located?
Eastern Family Trauma Treatment Center, LLC is located at 2640 Hollywood Blvd Ste 118, Hollywood, FL 33020. The listed phone number is (954) 778-3277.
What is Eastern Family Trauma Treatment Center, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Does Eastern Family Trauma Treatment Center, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2334148) is associated with this NPI, valid through November 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Eastern Family Trauma Treatment Center, LLC was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Eastern Family Trauma Treatment Center, Llc · NPI 1972478931
Rehabilitation, Substance Use Disorder organization in Hollywood, Florida. Organization record, active in the CMS NPPES registry since October 9, 2025.
## Identity
- **NPI:** 1972478931 (Entity type: Organization)
- **Enumerated:** October 9, 2025
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Organization subpart:** No
- **Authorized official:** Katia Tikhonravova, OWNER, CLINICAL DIRECTOR
## Practice location
- **Address:** 2640 HOLLYWOOD BLVD STE 118, Hollywood, FL 33020-4830
- **Phone:** (954) 778-3277
## Record status
- **NPPES last updated:** December 15, 2025
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1972478931) · Data from the CMS NPPES public registry.