Environmental Therapy Solutions LLC

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

Legal business name

ENVIRONMENTAL THERAPY SOLUTIONS LLC

Practice address

2630 W Broward Blvd Ste 203
Ft Lauderdale, FL 33312-1315

Phone

(305) 927-6073

NPI assigned

Sep 23, 2024

Last updated

Sep 23, 2024By 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

Fred Moline, ARNPNPI 1649971334

Title

Ceo

Phone

(305) 927-6073

Specialties & licenses 1

Addresses

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.

• Fred Moline

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
  • NPI 1649971334

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1194542126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 REESE RD APT 116",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333141269",
            "telephone_number": "305-927-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 W BROWARD BLVD STE 203",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121315",
            "telephone_number": "305-927-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVIRONMENTAL THERAPY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-22",
        "status": "A",
        "authorized_official_last_name": "MOLINE",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-927-6073",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enlightened Mind Counseling LLC (Beyond-Counseling)
• Michael R Enrico, MD
• Jojit Tanquerido Enriquez, PT
• Vanessa C. Enriquez, MSW, LCSW
• ENT South Florida Inc
• Ep Critical Care LLC
• Epd Speech and Occupational Therapy Inc.
• Teresa Epp, RN
• David Eppley, DO
• Elisa Epstein, RD

• Psychiatric/Mental Health Clinical Nurse Specialist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.