Trauma & Anxiety Counseling of Greater Palm Beaches Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

TRAUMA & ANXIETY COUNSELING OF GREATER PALM BEACHES INC.

Practice address

1740 Annandale Cir
Royal Palm Beach, FL 33411-6103

Phone

(561) 543-8993

NPI assigned

Dec 26, 2021

Organization subpart

No

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

Authorized official

Name

Khosrow Soltani, LMHC

Title

Founder

Phone

(561) 543-8993

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1640476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640476800000",
    "number": "1821758376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 ANNANDALE CIR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334116103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 ANNANDALE CIR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334116103",
            "telephone_number": "561-543-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAUMA & ANXIETY COUNSELING OF GREATER PALM BEACHES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-26",
        "last_updated": "2021-12-26",
        "certification_date": "2021-12-26",
        "status": "A",
        "authorized_official_last_name": "SOLTANI",
        "authorized_official_first_name": "KHOSROW",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "561-543-8993",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.