PC PC Mb2 LLC
NPI #1053121558 in Fort Lauderdale, Florida
Provider Information
- NPI Number
- 1053121558
- Entity Type
- Organization
- Organization Name
- PC PC Mb2 LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jan 8, 2025
- Last Updated
- Jan 8, 2025
Practice Location
- Address
- 6750 N ANDREWS AVE # 2147
- City
- Fort Lauderdale
- State
- Florida
- ZIP Code
- 33309-2173
- Phone
- (954) 951-2936
Authorized Official
- Name
- MICHAEL BLAKE-EDWARDS, LMHC
- Title
- MANAGER
- Phone
- (954) 951-2936
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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