Expert Psychological Associates, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Port Saint Lucie, FL. Organization (NPI-2).
NPI number1053825133
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1053825133
- Entity type
- Organization (NPI-2)
- Legal business name
- Expert Psychological Associates, LLC
- Organization subpart
- No
- Enumeration date
- Nov 28, 2017
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Practice location
447 Nw Prima Vista BlvdPort Saint Lucie, FL 34983-8731
Phone 772-249-2593
Mailing address
447 Nw Prima Vista BlvdPort Saint Lucie, FL 34983-8731
Phone 772-249-2593
Other practice locations
341 Se 2nd St
Belle Glade, FL 33430-3509
Belle Glade, FL 33430-3509
Phone 772-249-2593
Authorized official
George Zaky
President
7722492593
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