Organization
DLJ CLINICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANYELL JOHNSON LCSW (CEO)
(561) 921-7149
Entity
Organization
Contact information
Practice address
10 FAIRWAY DR STE 140V, DEERFIELD BEACH, FL 33441-1812
(561) 921-7149
(561) 530-2039
Mailing address
10 FAIRWAY DR STE 140V, DEERFIELD BEACH, FL 33441-1812
(561) 921-7149
(561) 530-2039
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW13061
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285981050
INDIVIDUAL NPI
FL
Enumeration date
01/08/2018
Last updated
01/19/2023
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