Premier Counseling & Family Therapy Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW6139 Issued in FL

Legal business name

PREMIER COUNSELING & FAMILY THERAPY INC

Practice address

200 Knuth Rd
Suite 238B
Boynton Beach, FL 33436-4629

Phone

(561) 336-6401

Fax

(561) 892-0902

NPI assigned

Oct 29, 2015

Last updated

Oct 29, 2015By 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

Ms. Carline Charles, MSW

Title

Ceo

Phone

(561) 860-2588

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1245602226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 KNUTH RD",
            "address_2": "SUITE 238B",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364629",
            "telephone_number": "561-336-6401",
            "fax_number": "561-892-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 KNUTH RD",
            "address_2": "SUITE 238B",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364629",
            "telephone_number": "561-336-6401",
            "fax_number": "561-892-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER COUNSELING & FAMILY THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "CARLINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-860-2588",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW6139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.