Samaritan Counseling Center

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

MT3178 Issued in FL

Legal business name

SAMARITAN COUNSELING CENTER

Practice address

101 SE 3Rd Avenue
Fort Lauderdale, FL 33301

Phone

(561) 401-8527

NPI assigned

May 2, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Mallica David Reynolds, MS. LMFT

Title

Clinical Director

Phone

(561) 401-8527

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1356877047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6760 N PINE ISLAND RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213715",
            "telephone_number": "561-401-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SE 3RD AVENUE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33301",
            "telephone_number": "561-401-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "MALLICA",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "561-401-8527",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS. LMFT"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "FL",
            "license": "MT3178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saltzman, Tanis, Pittell, Levin and Jacobson, LLC
• Shannon Saluk
• Damon R Salzman, MD
• Sam J Sugar MD Facp
• Samantha Samaan
• Samdazie LLC
• Samer Elhakim MD PA
• Sindi Kay Samis
• Miranda W Sampath
• Monica Samper, LMHC

• Mental Illness Community Based Residential Treatment Facility in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Mental Illness Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.