Organization
SUPPORT SERVICES CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA SAMAME (MANAGER/PSYCHOTHERAPIST)
(561) 635-6059
Entity
Organization
Contact information
Practice address
3419 COCOPLUM CIR, COCONUT CREEK, FL 33063-5924
(561) 635-6059
Mailing address
3419 COCOPLUM CIR, COCONUT CREEK, FL 33063-5924
(561) 635-6059
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
SW8384
FL
251S00000X
Community/Behavioral Health Agency
Primary
SW8384
FL
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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