NPIMap

Organization Active NPI

Enrichment Support Services, LLC

  • Community/Behavioral Health Agency
  • Pembroke Pines, FL
National Provider Identifier
1285053553
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
L14000040502 Issued in FL
Legal business name
ENRICHMENT SUPPORT SERVICES, LLC
Practice address
701 Promenade Dr
Suite 204
Pembroke Pines, FL 33026-6034
Phone
(954) 364-8842
NPI assigned
Apr 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Authorized official

Name
Mrs. Anse Daniel, LMFT
Title
Sole Proprietor
Phone
(954) 257-7394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X L14000040502 FL Primary

Addresses

Primary practice location

701 Promenade Dr
Suite 204
Pembroke Pines, FL 33026-6034

Mailing address

3300 Onyx Rd
Miramar, FL 33025-2821
Phone (954) 257-7394

Other names 1

  • Child & Family Support Services, LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Child Family Support Services LLC2 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.

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1285053553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 ONYX RD",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252821",
            "telephone_number": "954-257-7394",
            "fax_number": "954-251-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PROMENADE DR",
            "address_2": "SUITE 204",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330266034",
            "telephone_number": "954-364-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRICHMENT SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "ANSE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "954-257-7394",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "L14000040502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Child & Family Support Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.