Organization
PRIVATE MENTAL HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLGA KATZ M.D. (MEDICAL DIRECTOR)
(917) 494-4975
Entity
Organization
Contact information
Practice address
12 SE 7TH STREET, SUITE 705, FORT LAUDERDALE, FL 33301
(954) 794-9000
(754) 800-2610
Mailing address
3100 NORTH OCEAN BLVD, UNIT 603, FORT LAUDERDALE, FL 33308
(646) 512-3203
(754) 800-2610
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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