Sovereign Business Management, Inc.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

MT 2758 Issued in FL

Legal business name

SOVEREIGN BUSINESS MANAGEMENT, INC.

Doing business as

Positive Imprints

Practice address

2331 N State Road 7
Suite 124
Lauderdale Lakes, FL 33313-3748

Phone

(305) 308-9932

NPI assigned

Aug 12, 2011

Last updated

Nov 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Walter Howard, M.S.

Title

President

Phone

(305) 308-9932

Specialties & licenses 3

Addresses

Other names 1

• Positive Imprints Doing business as

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1033498613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 SW 19TH ST",
            "city": "WEST PARK",
            "state": "FL",
            "postal_code": "330233271",
            "telephone_number": "305-308-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 N STATE ROAD 7",
            "address_2": "SUITE 124",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333133748",
            "telephone_number": "305-308-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGN BUSINESS MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-308-9932",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "FL",
            "license": "MT 2758",
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "FL",
            "license": "1005984",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MT 2758",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Positive Imprints",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adolescent and Children Mental Health Clinic/Center in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Adolescent and Children Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.