Bout Me Healing

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0050962014 Issued in FL

Legal business name

BOUT ME HEALING

Practice address

3317 NW 10TH Ter Ste 406
Fort Lauderdale, FL 33309-5941

Phone

(786) 423-5459

NPI assigned

Aug 18, 2016

Organization subpart

Yes

Parent organization

BOUT ME OM ART & HEALING INK INCAs reported in NPPES

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

Authorized official

Name

Prof. C Gonzalez, CAC

Title

Ceo/Owner

Phone

(786) 423-5459

Specialties & licenses 1

Addresses

Other names 1

• BOUT ME OM ART & HEALING INK INC Other name

Part of

Bout Me Healing

Practitioners 1

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

• Cynthia Rivera Gonzalez, CAP

  • Professional Counselor
  • Boca Raton, FL
  • NPI 1164809455
  NPD (past)

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1467907519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 TAM O SHANTER LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334313903",
            "telephone_number": "786-423-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 NW 10TH TER STE 406",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333095941",
            "telephone_number": "786-423-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUT ME HEALING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOUT ME OM ART & HEALING INK INC",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "C",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "786-423-5459",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "CAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "0050962014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOUT ME OM ART & HEALING INK INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniela Bou Daher Rachwan
• Kaidian Boubacar, MSW
• Brenda Bourassa, DO
• France Bourget, OBGYN, M.D
• Mehdi Bouslama
• Kathleen Bouyett, APRN
• Martha Bouza, M.D.
• Alfred Bove, DMD
• Donmonique R Bowe Thomas
• George Stephen Bowen, M.D.

• Community/Behavioral Health Agency in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.