Provider Demographics
NPI:1700423373
Name:PSYCHOLOGICAL HEALING SOLUTIONS
Entity type:Organization
Organization Name:PSYCHOLOGICAL HEALING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:SIGAL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:954-612-1456
Mailing Address - Street 1:10761 NW 14TH ST APT 282
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-6950
Mailing Address - Country:US
Mailing Address - Phone:954-612-1456
Mailing Address - Fax:
Practice Address - Street 1:2699 STIRLING RD STE C304
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-6592
Practice Address - Country:US
Practice Address - Phone:754-444-1950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-03
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty