Organization
EASTERN FAMILY TRAUMA TREATMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIA TIKHONRAVOVA LMFT (OWNER, CLINICAL DIRECTOR)
(954) 253-2720
Entity
Organization
Contact information
Practice address
2640 HOLLYWOOD BLVD STE 118, HOLLYWOOD, FL 33020-4830
(954) 778-3277
Mailing address
812 S RIVERSIDE DR, POMPANO BEACH, FL 33062-6200
(954) 253-2720
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2025
Last updated
12/15/2025
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