Eastern Family Trauma Treatment Center, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

EASTERN FAMILY TRAUMA TREATMENT CENTER, LLC

Practice address

2640 Hollywood Blvd Ste 118
Hollywood, FL 33020-4830

Phone

(954) 778-3277

NPI assigned

Oct 9, 2025

Organization subpart

No

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

Authorized official

Name

Katia Tikhonravova, LMFTNPI 1730895855

Title

Owner, Clinical Director

Phone

(954) 253-2720

Specialties & licenses 4

Addresses

Locations

Practitioners 1

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

• Katia Tikhonravova, PH.D.

  • Marriage & Family Therapist
  • Pompano Beach, FL
  • NPI 1730895855
  NPD Authorized official

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1972478931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 S RIVERSIDE DR",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330626200",
            "telephone_number": "954-253-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 HOLLYWOOD BLVD STE 118",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204830",
            "telephone_number": "954-778-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN FAMILY TRAUMA TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "TIKHONRAVOVA",
        "authorized_official_first_name": "KATIA",
        "authorized_official_title_or_position": "OWNER, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "954-253-2720",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E-Lab of Florida Inc.
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• Early Stages for Early Ages Inc.
• East Coast Respiratory Therapy Inc
• East Hollywood Medical Associates, Inc.
• Jonathan Paul Eastman, LMFT
• Eastside Active Living LLC
• Eastside Hospitalists Inc
• Easy Life Medical Supply, Inc
• Mary E. Ebanks-Nunaihed, DPT

• Substance Use Disorder Rehabilitation Clinic/Center in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.