Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PSYCHOTHERAPY SERVICES
Active
Organization
PSYCHOTHERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEWIS J JORDAN LMHC (OWNER)
(954) 399-2093
Entity
Organization
Contact information
Practice address
398 CAMINO GARDENS BLVD, SUITE 101, BOCA RATON, FL 33432-5827
(954) 399-2093
(954) 463-4609
Mailing address
398 CAMINO GARDENS BLVD, SUITE 101, BOCA RATON, FL 33432-5827
(954) 399-2093
(954) 463-4609
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11958144
CAQH NUMBER
—
Enumeration date
05/14/2014
Last updated
05/14/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up