Provider Demographics
NPI:1730661216
Name:SOUTH FLORIDA THERAPY FOR FAMILIES PLLC
Entity type:Organization
Organization Name:SOUTH FLORIDA THERAPY FOR FAMILIES PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MBR
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERGER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:561-271-7104
Mailing Address - Street 1:5550 GLADES ROAD
Mailing Address - Street 2:STE 500
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7277
Mailing Address - Country:US
Mailing Address - Phone:561-271-7104
Mailing Address - Fax:561-501-5481
Practice Address - Street 1:5550 GLADES ROAD
Practice Address - Street 2:STE 500
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7277
Practice Address - Country:US
Practice Address - Phone:561-271-7104
Practice Address - Fax:561-501-5481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-31
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW146601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty