Organization Active NPI

The Healing Crest Counseling Services LLC

  • Mental Health Counselor
  • Hollywood, FL
National Provider Identifier
1811306020
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW9459 Issued in FL
Legal business name
THE HEALING CREST COUNSELING SERVICES LLC
Practice address
2500 Hollywood Blvd Ste 103
Hollywood, FL 33020-6615
Phone
(754) 777-6871
NPI assigned
Aug 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Mrs. Lamora D Pace, LCSW, CAP
Title
President/Ceo
Phone
(954) 702-9021

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X CAP ADC-001430-2014 FL
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X SW9459 FL Primary
Case Management Agency 251B00000X CCMS100206-AC FL

Addresses

Primary practice location

2500 Hollywood Blvd Ste 103
Hollywood, FL 33020-6615

Mailing address

2500 Hollywood Blvd Ste 103
Hollywood, FL 33020-6615
Phone (754) 777-6871

National Provider Directory

National Provider Directory

Locations

2500 Hollywood Blvd
Ste 103
Hollywood, FL 33020
Phone (754) 777-6871

2500 Hollywood Blvd
Ste 410
Hollywood, FL 33020
Phone (754) 260-1367

5001 SW 20th St
West Park, FL 33023
Phone (954) 961-6533

5945 SW 23rd St
West Park, FL 33023
Phone (786) 916-6674

NPI Registry JSON

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1811306020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HOLLYWOOD BLVD STE 103",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206615",
            "telephone_number": "754-777-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOLLYWOOD BLVD STE 103",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206615",
            "telephone_number": "754-777-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALING CREST COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "LAMORA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "954-702-9021",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, CAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP ADC-001430-2014",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW9459",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "CCMS100206-AC",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.