Organization
BREAKWATER PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN PAUL HEINRICHS MA, LMHC (COFOUNDER)
(954) 372-6582
Entity
Organization
Contact information
Practice address
550 SE 6TH AVE STE 200, DELRAY BEACH, FL 33483-5306
(954) 372-6582
Mailing address
5949 NW 63RD WAY, PARKLAND, FL 33067-1525
(641) 485-8750
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
03/16/2022
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