Exultation Community Resource Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EXULTATION COMMUNITY RESOURCE CENTER

Practice address

4000 N State Road 7 Ste 401-2
Lauderdale Lakes, FL 33319-4804

Phone

(954) 478-5835

NPI assigned

Sep 4, 2019

Organization subpart

No

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

Authorized official

Name

Phyllis Mathis

Title

Ceo

Phone

(954) 478-5835

Specialties & licenses 1

Addresses

Tax ID family

Exultation Community Resource Center2 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.

• Exultation Community Resource Center

  • Mental Health Counselor
  • Lauderdale Lakes, FL
  • NPI 1235782939
  NPD tax ID

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1508415332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 NW 16TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333118851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 N STATE ROAD 7 STE 401-2",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333194804",
            "telephone_number": "954-478-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXULTATION COMMUNITY RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-478-5835"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evolvekidsaba LLC
• Excel Therapy, Inc.
• Hermin Exilus, ACUPUNCTURIST
• Reginald Exilus, APRN
• Exultation Community Resource Center
• Melinda Exume, M.D
• Family Practic Inc
• Family Practice of Tamarac Corp
• Teshanna Farquharson-McIntosh
• Fashion Optical Center

• Community/Behavioral Health Agency in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, 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 Sep 4, 2019; 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.