Organization Active NPI

Full Time Human LLC

  • Marriage & Family Therapist
  • Hollywood, FL
National Provider Identifier
1083446561
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
FULL TIME HUMAN LLC
Practice address
505 S Highland Dr
Hollywood, FL 33021-7308
Phone
(305) 924-2475
NPI assigned
Aug 14, 2024
Last updated
Aug 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Jeanette Balayla, LMFTNPI 1497511109
Title
Ceo
Phone
(305) 924-2475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

505 S Highland Dr
Hollywood, FL 33021-7308

Mailing address

505 S Highland Dr
Hollywood, FL 33021-7308
Phone (305) 924-2475

National Provider Directory

National Provider Directory

Locations

4801 S University Dr
Ste 229
Davie, FL 33328

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1083446561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S HIGHLAND DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330217308",
            "telephone_number": "305-924-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S HIGHLAND DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330217308",
            "telephone_number": "305-924-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL TIME HUMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "BALAYLA",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-924-2475",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.