Yarlie Ruth Nicolas, PHD, LMFT
Individual provider Active NPI Marriage & Family Therapist · Tamarac, FL
NPI 1609548585 · NPPES record last updated Sep 29, 2021
Key facts
- NPI
- 1609548585
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 4097 (FL)
- Practice address
- 6413 NW 72ND Ave
Tamarac, FL 33321-5518 - Phone
- (954) 709-0916
- NPI assigned
- Sep 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4097 | FL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 4097 | FL | Yes |
Addresses
Primary practice location
6413 NW 72ND Ave
Tamarac, FL 33321-5518
Mailing address
7957 N University Dr # 1037
Parkland, FL 33067-2601
Phone (954) 709-0916
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.homefieldconsulting.com | Direct |
Other providers in Tamarac, FL
- New Wave Clinical Laboratory LLC
- Samantha Newman
- Jessica Ngsuy
- Holly Nicewicz
- Shantar Ornella Nicholas I
- Nigam H Parikh, M.D. P.a.
- Nigam H Parikh, MD PA
- Atara Nightingale
- Dennecia Nisbeth
- Chaim Nissel
All providers in Tamarac, FL · Marriage & Family Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.