Broward Marriage & Family Therapy, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT1977 Issued in FL

Legal business name

BROWARD MARRIAGE & FAMILY THERAPY, INC.

Practice address

4953 N University Dr
Suite #14-B- Los Maderos Plaza
Lauderhill, FL 33351-4506

Phone

(954) 394-0351

Fax

(954) 746-5738

NPI assigned

Nov 11, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kamelia A. El-Kolalli, LMFT

Title

Marriage & Family Therapist/Owner

Phone

(954) 394-0351

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003897489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13469 NW 5TH CT",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333256110",
            "telephone_number": "954-394-0351",
            "fax_number": "954-746-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4953 N UNIVERSITY DR",
            "address_2": "SUITE #14-B- LOS MADEROS PLAZA",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333514506",
            "telephone_number": "954-394-0351",
            "fax_number": "954-746-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD MARRIAGE & FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EL-KOLALLI",
        "authorized_official_first_name": "KAMELIA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MARRIAGE & FAMILY THERAPIST/OWNER",
        "authorized_official_telephone_number": "954-394-0351",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT1977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.