Florida House Experience

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

ISW8493 Issued in FL

Legal business name

FLORIDA HOUSE EXPERIENCE

Practice address

505 S Federal Hwy
Deerfield Beach, FL 33441-4109

Phone

(954) 559-6093

NPI assigned

Jul 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Titus Simeul Tucker, ED.D.

Title

Clinical Therapist

Phone

(954) 559-6093

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1992189633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S FEDERAL HWY",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414109",
            "telephone_number": "954-559-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S FEDERAL HWY",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414109",
            "telephone_number": "954-559-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA HOUSE EXPERIENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "TITUS",
        "authorized_official_middle_name": "SIMEUL",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "954-559-6093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "ISW8493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jasmine Cierra Flournoy

• Substance Abuse Rehabilitation Facility in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.