The Community, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT 2236 Issued in FL

Legal business name

THE COMMUNITY, LLC

Practice address

16 NE 4TH St
Suite 130
Fort Lauderdale, FL 33301-3262

Phone

(954) 533-9818

Fax

(954) 533-9819

NPI assigned

Mar 23, 2009

Last updated

Mar 23, 2009By 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

Ms. Judith Lee Bloom, LMFT, MSW

Title

President

Phone

(954) 533-9818

Specialties & licenses 1

Addresses

Other names 1

• The Community Other name

Tax ID family

The Community2 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.

• The Community, LLC

  • Marriage & Family Therapist
  • Fort Lauderdale, FL
  • NPI 1679928600
  NPD tax ID

Locations

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1780825661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 NE 4TH ST",
            "address_2": "SUITE 130",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013262",
            "telephone_number": "954-533-9818",
            "fax_number": "954-533-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 NE 4TH ST",
            "address_2": "SUITE 130",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013262",
            "telephone_number": "954-533-9818",
            "fax_number": "954-533-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMUNITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-533-9818",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT, MSW"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT 2236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Community",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Marriage & Family Therapist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.