# SOUTHEASTERN CLINICAL SPECIALTIES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Praxis Program
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912226770
- **Authorized official:** MAXINE A MICHAEL (PRESIDENT)
- **Authorized official phone:** (727) 415-9185

## Contact information

- **Practice address:** 2303 HOLLYWOOD BLVD STE 12, HOLLYWOOD, FL 33020-6768
- **Practice address phone:** (727) 415-9185
- **Mailing address:** 2801 NE 10TH AVE, WILTON MANORS, FL 33334-3711
- **Mailing address phone:** (727) 415-9185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2010
- **Last updated:** 05/19/2010