His Therapeutic Counseling Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

SW8983 Issued in FL

Legal business name

HIS THERAPEUTIC COUNSELING CENTER LLC

Practice address

6415 Lake Worth Rd
Suite 208
Greenacres, FL 33463-2910

Phone

(561) 252-3787

NPI assigned

Jan 31, 2014

Organization subpart

No

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

Authorized official

Name

Elcie Ardain, LCSWNPI 1104083773

Title

Social Worker

Phone

(561) 252-3787

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Bruce Chiropractic and Comprehensive Care PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bruce Chiropractic and Comprehensive Care PLLC

  • Chiropractor
  • Ocala, FL
  • NPI 1194775833
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elcie Ardain, LCSW

  • Clinical Social Worker
  • Lake Worth, FL
  • NPI 1104083773
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1053734616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8387 MYAKKA CT",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676228",
            "telephone_number": "561-252-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6415 LAKE WORTH RD",
            "address_2": "SUITE 208",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334632910",
            "telephone_number": "561-252-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS THERAPEUTIC COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "ARDAIN",
        "authorized_official_first_name": "ELCIE",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "561-252-3787",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW8983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sodeyli F Herrera
• Alexis Nichole Highsmith, MSW, MS
• Bronwen D Hill, COTA/L
• Pearlie Hill, RBT
• Okevious Obryon Hinds, RBT
• Rachael Hodes
• Harriet Gallivan Hoffman
• Christian Holder Lim
• Holiday CVS LLC
• Holiday CVS LLC

• Community/Behavioral Health Agency in Greenacres, FL
• Providers in Greenacres, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.