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Organization
PSYCH 4 U LLC
Active
Organization
PSYCH 4 U LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM KHAN (CREDENTIALING MANAGER)
(954) 431-9838
Entity
Organization
Contact information
Practice address
2010 NW 150TH AVE, STE 120, PEMBROKE PINES, FL 33028-2888
(954) 431-9838
(954) 241-6726
Mailing address
2010 NW 150TH AVE STE 120, PEMBROKE PINES, FL 33028-2888
(954) 431-9838
(954) 241-6726
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/29/2021
Last updated
03/18/2026
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