Organization
MOTIVATIONAL INSTITUTE FOR BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI LENAY EICKLEBERRY PH.D. (LICENSED PSYCHOLOGIST)
(954) 315-1774
Entity
Organization
Contact information
Practice address
1421 SE 4TH AVE FL 1, FORT LAUDERDALE, FL 33316-1900
(954) 616-5088
(954) 616-5147
Mailing address
1421 SE 4TH AVE FL 1, FORT LAUDERDALE, FL 33316-1900
(954) 616-5088
(954) 616-5147
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7732
FL
Other
Enumeration date
09/09/2009
Last updated
11/06/2023
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