Anxious Black Girls

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ANXIOUS BLACK GIRLS

Practice address

7154 Sportsmans Dr
North Lauderdale, FL 33068-5456

Phone

(718) 825-1996

NPI assigned

Apr 13, 2021

Organization subpart

No

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

Authorized official

Name

Deseray Hamilton, LMHCNPI 1104242130

Title

Ceo

Phone

(718) 825-1996

Specialties & licenses 1

Addresses

Practitioners 1

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

• Deseray T Hamilton

  • Mental Health Counselor
  • North Lauderdale, FL
  • NPI 1104242130
  NPD Authorized official

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1700466869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7154 SPORTSMANS DR",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330685456",
            "telephone_number": "718-825-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7154 SPORTSMANS DR",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330685456",
            "telephone_number": "718-825-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANXIOUS BLACK GIRLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "DESERAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-825-1996",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in North Lauderdale, FL
• Providers in North Lauderdale, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.