Organization
SHAKE IT UP FOUNDATION LLC
Active
Other names
Krystal Farnum
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL FARNUM M.S. LMHC (CHIEF EXECUTIVE OFFICER)
(570) 540-3465
Entity
Organization
Contact information
Practice address
6919 W BROWARD BLVD STE 151, PLANTATION, FL 33317-2902
(954) 283-0747
Mailing address
6919 W BROWARD BLVD STE 151, PLANTATION, FL 33317-2902
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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