Palmcoast Therapy, Inc.

NPI #1780271254 in Ft Lauderdale, Florida

Provider Information

NPI Number: 1780271254
Entity Type: Organization
Organization Name: Palmcoast Therapy, Inc.
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 30, 2020
Last Updated: Dec 30, 2020

Practice Location

Address: 2598 E SUNRISE BLVD STE 210-A
City: Ft Lauderdale
State: Florida
ZIP Code: 33304-3230
Phone: (954) 309-3449

Authorized Official

Name: ANDREA CAROLINE MALLEN, LCSW
Title: PRESIDENT/CEO
Phone: (954) 309-3449

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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