Jeanis Holistic Psychotherapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JEANIS HOLISTIC PSYCHOTHERAPY, LLC

Practice address

331 NW 78TH Ter Apt 104
Pembroke Pines, FL 33024-1219

Phone

(954) 546-1093

Fax

(954) 827-0863

NPI assigned

Feb 2, 2023

Last updated

Feb 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Armide Jeanis, MSW, LCSWNPI 1285167742

Title

Ceo & Clinical Therapist

Phone

(754) 280-8805

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Armide Jeanis, MSW, LCSW, LICSW

  • Clinical Social Worker
  • Miramar, FL
  • NPI 1285167742
  NPD Authorized official

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1629774542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13173 SW 44TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 NW 78TH TER APT 104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330241219",
            "telephone_number": "954-546-1093",
            "fax_number": "954-827-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANIS HOLISTIC PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "JEANIS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ARMIDE",
        "authorized_official_title_or_position": "CEO & CLINICAL THERAPIST",
        "authorized_official_telephone_number": "754-280-8805",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE",
            "identifier": "SW20897",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martine Jean-Charles
• Aurelie Jean-Louis
• Eddy Jean-Louis, RRT
• Serge Jean-Louis Jr.
• Sheila Jean-Pierre
• Jeanne-Elyse Cedeno M.D., P.a. (The Family Docs)
• Jeannie C. Nunez, Psy.D.
• Naomi Jeanty-Higgins, M.D.
• Jeffrey a Steiner MD PA (Gastrointestinal Diagnostic Centers)
• Jeffrey P. Snow M.D., P.a.

• Clinical Social Worker in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Clinical Social Worker in Florida

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