Organization
LGW BEHAVIORAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA TAURIELLO (OFFICE MANAGER)
(954) 587-7771
Entity
Organization
Contact information
Practice address
1400 E HILLSBORO BLVD STE 200E, DEERFIELD BEACH, FL 33441-4202
(954) 587-7771
Mailing address
6278 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-1916
(954) 587-7771
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
ME52952
FL
104100000X
Social Worker
SW6206
FL
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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