Organization
FOUNDATIONS FOR L.I.F.E.
Active
Other names
Alpha PsychCare
Organization subpart
No
Provider details
NPI number
Authorized official
ANDROMEDA MOODIE LMFT (LICENSED MARRIAGE & FAMILY THERAPIS)
(954) 594-6816
Entity
Organization
Contact information
Practice address
6928 NW 30TH AVE # 6928, FORT LAUDERDALE, FL 33309-1337
(954) 947-1247
Mailing address
6928 NW 30TH AVE, FORT LAUDERDALE, FL 33309-1337
(954) 594-6816
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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