Organization · NPI-2

Allegiance Clinical Counseling LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Hollywood, FL

NPI number1174967681
StatusActive
Last updated in NPPESApr 26, 2013

Details

NPI
1174967681
Entity type
Organization (NPI-2)
Legal business name
Allegiance Clinical Counseling LLC
Organization subpart
No
Enumeration date
Apr 26, 2013
Last updated
Apr 26, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

4835 Hollywood Blvd
2
Hollywood, FL 33021-6548

Phone 954-251-2796 · Fax 754-400-9076

Mailing address

4835 Hollywood Blvd
2
Hollywood, FL 33021-6548

Phone 954-251-2796 · Fax 754-400-9076

Authorized official

Vivian Mathis
Owner
9542512796

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