Provider Demographics
NPI:1144436296
Name:MARIA L. BONDI LMHC DAPA
Entity type:Organization
Organization Name:MARIA L. BONDI LMHC DAPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BONDI
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC DAPA
Authorized Official - Phone:954-467-2500
Mailing Address - Street 1:1650 NE 26TH ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:WILTON MANORS
Mailing Address - State:FL
Mailing Address - Zip Code:33305
Mailing Address - Country:US
Mailing Address - Phone:954-467-2500
Mailing Address - Fax:954-564-4117
Practice Address - Street 1:1650 NE 26TH ST
Practice Address - Street 2:SUITE 206
Practice Address - City:WILTON MANORS
Practice Address - State:FL
Practice Address - Zip Code:33305-1431
Practice Address - Country:US
Practice Address - Phone:954-467-2500
Practice Address - Fax:954-564-4117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3854251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ9029OtherBLUE CROSS BLUE SHIELD