Organization
BROWARD CENTER FOR COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE M KREISBERG (OWNER/ LICENSED COUNSELOR)
(954) 475-9503
Entity
Organization
Contact information
Practice address
8030 PETERS RD, SUITE D-106, PLANTATION, FL 33324-4038
(954) 475-9503
(954) 476-2369
Mailing address
8030 PETERS ROAD, SUITE D-106, PLANTATION, FL 33324
(954) 475-9503
(954) 476-2369
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MH5055
FL
101YM0800X
Mental Health Counselor
Primary
MH0007
FL
101YM0800X
Mental Health Counselor
MH10854
FL
101YM0800X
Mental Health Counselor
MH1868
FL
103T00000X
Psychologist
PY0003936
FL
103TC0700X
Clinical Psychologist
PY5840
FL
103TC0700X
Clinical Psychologist
PY7288
FL
1041C0700X
Clinical Social Worker
MT2274
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019032900
—
FL
Enumeration date
05/08/2017
Last updated
05/08/2017
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