A & O Psychotherapy LLC
Social Worker, Clinical in Boca Raton, FL. Organization (NPI-2).
NPI number1124553151
StatusActive
Last updated in NPPESFeb 15, 2018
Details
- NPI
- 1124553151
- Entity type
- Organization (NPI-2)
- Legal business name
- A & O Psychotherapy LLC
- Organization subpart
- No
- Enumeration date
- Apr 27, 2017
- Last updated
- Feb 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW 9755 | FL | Yes |
Practice location
21301 Powerline RoadSuite 304
Boca Raton, FL 33433
Phone 954-683-5138
Mailing address
18261 181st Circle SouthBoca Raton, FL 33498
Phone 954-683-5138
Authorized official
Alisa Fernandez
Lcsw
9546835138
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