Organization
PRIVATE MENTAL HEALTH GROUP LLC
Active
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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