Provider Demographics
NPI:1619766656
Name:POLINSKI, DAVID JR (LMHC)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:POLINSKI
Suffix:JR
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4009 NE 21ST AVE APT 11
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-5666
Mailing Address - Country:US
Mailing Address - Phone:954-600-1576
Mailing Address - Fax:
Practice Address - Street 1:4009 NE 21ST AVE APT 11
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-5666
Practice Address - Country:US
Practice Address - Phone:954-600-1576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL25659101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health