Organization
UNITED THERAPIST GROUP USA, LLC
Active
Other names
United Therapist Group USA, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATIA TIKHONRAVOVA PH.D. (LMFT)
(954) 253-2720
Entity
Organization
Contact information
Practice address
2101 N FEDERAL HWY STE D110, POMPANO BEACH, FL 33062-1024
(954) 253-2720
Mailing address
812 S RIVERSIDE DR, POMPANO BEACH, FL 33062-6200
(954) 253-2720
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT3336
BOARD OF CLINICAL SOCIAL WORK, MARRIAGE AND FAMILY THERAPY AND MHC
FL
Enumeration date
01/19/2023
Last updated
01/19/2023
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