Organization
DELRAY BEACH WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA HERNANDEZ (BILLING MANAGER)
(954) 203-3584
Entity
Organization
Contact information
Practice address
1300 NW 17TH AVE, SUITE 145, DELRAY BEACH, FL 33445-2578
(844) 763-9968
(877) 281-1665
Mailing address
1300 NW 17TH AVE, SUITE 145, DELRAY BEACH, FL 33445-2578
(844) 763-9968
(877) 281-1665
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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