LGW Behavioral Health Inc

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

ME52952 Issued in FL

Legal business name

LGW BEHAVIORAL HEALTH INC

Practice address

1400 E Hillsboro Blvd Ste 200E
Deerfield Beach, FL 33441-4202

Phone

(954) 587-7771

NPI assigned

May 13, 2010

Organization subpart

No

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

Authorized official

Name

Teresa Tauriello

Title

Office Manager

Phone

(954) 587-7771

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1285952366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6278 N FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081916",
            "telephone_number": "954-587-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E HILLSBORO BLVD STE 200E",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414202",
            "telephone_number": "954-587-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LGW BEHAVIORAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "TAURIELLO",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-587-7771"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "ME52952",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW6206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Lewis, ARNP
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• Samantha Marie-Luise Licon
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• Addiction (Substance Use Disorder) Psychologist in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Addiction (Substance Use Disorder) Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.