Organization Active NPI

Gardenia Womens Mental Health Network Inc

  • Mental Health Counselor
  • Miramar, FL
National Provider Identifier
1467236315
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GARDENIA WOMENS MENTAL HEALTH NETWORK INC
Practice address
3348 SW 148TH Ave
Ste 110
Miramar, FL 33027
Phone
(954) 874-1617
NPI assigned
Aug 22, 2023
Last updated
Aug 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Authorized official

Name
Dr. Marlo Turner Tait, PHD
Title
Psychotherapist/Director of Service
Phone
(954) 874-1617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3348 SW 148TH Ave
Ste 110
Miramar, FL 33027

Mailing address

3348 SW 148TH Ave
Ste 110
Miramar, FL 33027
Phone (954) 874-1617

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1467236315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3348 SW 148TH AVE",
            "address_2": "STE 110",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33027",
            "telephone_number": "954-874-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3348 SW 148TH AVE",
            "address_2": "STE 110",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33027",
            "telephone_number": "954-874-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENIA WOMENS MENTAL HEALTH NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "TURNER TAIT",
        "authorized_official_first_name": "MARLO",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/DIRECTOR OF SERVICE",
        "authorized_official_telephone_number": "954-874-1617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.