Myself Discovery, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW10552 Issued in FL

Legal business name

MYSELF DISCOVERY, LLC

Practice address

400 SE 12TH St
Ft Lauderdale, FL 33316-1937

Phone

(954) 524-2217

NPI assigned

Oct 14, 2011

Organization subpart

No

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

Authorized official

Name

Debby Gottlieb, LCSW

Title

President

Phone

(954) 328-5429

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1114202728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SE 12TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161937",
            "telephone_number": "954-524-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SE 12TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161937",
            "telephone_number": "954-524-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYSELF DISCOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "DEBBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-328-5429",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW10552",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10552",
            "primary": false
        }
    ],
    "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 Dec 12, 2011; 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.