# PALM BEACH DRUG TESTING, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Relax Medical Center, Relax Mental Health Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295086965
- **Authorized official:** MS. KEREN MARIE ROESSER LMHC CAP SAP CRC (MANAGING MBR)
- **Authorized official phone:** (561) 469-9934

## Contact information

- **Practice address:** 2809 POINSETTIA AVE STE 3-5, WEST PALM BEACH, FL 33407-5426
- **Practice address phone:** (561) 439-9934
- **Mailing address:** 2809 POINSETTIA AVE STE 3-5, WEST PALM BEACH, FL 33407-5426
- **Mailing address phone:** (561) 439-9934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | MH11184 | FL | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | — |
| 225C00000X | Rehabilitation Counselor | — | NULL | — |
| 225C00000X | Rehabilitation Counselor | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/21/2012
- **Last updated:** 07/21/2022