Organization Active NPI

Clover Therapy Center LLC

Doing business as Clover Therapy Center

  • Marriage & Family Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1770356495
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
CLOVER THERAPY CENTER LLC
Doing business as
Clover Therapy Center
Practice address
2630 W Broward Blvd Ste 2031938
Fort Lauderdale, FL 33312-1314
Phone
(786) 860-2228
NPI assigned
Nov 3, 2023
Last updated
Nov 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Authorized official

Name
Cindy Xinyan Yu-Wu, LMFTNPI 1730861717
Title
Owner
Phone
(786) 860-2228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

2630 W Broward Blvd Ste 2031938
Fort Lauderdale, FL 33312-1314

Mailing address

2630 W Broward Blvd Ste 2031938
Fort Lauderdale, FL 33312-1314
Phone (786) 860-2228

Other practice location 1

204 Centreville St Apt B
Marion, AL 36756-1802
Phone (786) 860-2228

Other names 1

  • Clover Therapy Center Doing business as

National Provider Directory

National Provider Directory

Locations

2630 W Broward Blvd
Ste 2031938
Fort Lauderdale, FL 33312
Phone (786) 860-2228

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1770356495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 W BROWARD BLVD STE 2031938",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121314",
            "telephone_number": "786-860-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 W BROWARD BLVD STE 2031938",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121314",
            "telephone_number": "786-860-2228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Centreville St Apt B",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "AL",
            "postal_code": "367561802",
            "country_code": "US",
            "telephone_number": "786-860-2228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLOVER THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "YU-WU",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "XINYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-860-2228",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clover Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.