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Organization
PSYCH CONSULTANTS GROUP LLC
Active
Organization
PSYCH CONSULTANTS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN TORRES MS (PRESIDENT)
(754) 246-5618
Entity
Organization
Contact information
Practice address
2731 EXECUTIVE PARK DR STE 9, WESTON, FL 33331-3659
(754) 246-5618
(954) 616-8101
Mailing address
2731 EXECUTIVE PARK DR STE 9, WESTON, FL 33331-3659
(754) 246-5618
(954) 616-8101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
Primary
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105576000
—
FL
Enumeration date
09/30/2015
Last updated
08/24/2022
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