Provider Demographics
NPI:1053502740
Name:ADRIA A LABINER
Entity Type:Organization
Organization Name:ADRIA A LABINER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:ADRIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:LABINER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:954-663-8649
Mailing Address - Street 1:1040 WESTON RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-1978
Mailing Address - Country:US
Mailing Address - Phone:954-349-2777
Mailing Address - Fax:
Practice Address - Street 1:1040 WESTON RD
Practice Address - Street 2:SUITE 210
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-1912
Practice Address - Country:US
Practice Address - Phone:954-349-2777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW34521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty