Provider Demographics
NPI:1083211049
Name:LARKIN, CUB JOSEPH (MS, NCC)
Entity Type:Individual
Prefix:MR
First Name:CUB
Middle Name:JOSEPH
Last Name:LARKIN
Suffix:
Gender:M
Credentials:MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 NW 29TH CT
Mailing Address - Street 2:
Mailing Address - City:WILTON MANORS
Mailing Address - State:FL
Mailing Address - Zip Code:33311-2436
Mailing Address - Country:US
Mailing Address - Phone:954-892-5552
Mailing Address - Fax:954-405-8948
Practice Address - Street 1:800 NW 29TH CT
Practice Address - Street 2:
Practice Address - City:WILTON MANORS
Practice Address - State:FL
Practice Address - Zip Code:33311-2436
Practice Address - Country:US
Practice Address - Phone:954-892-5552
Practice Address - Fax:954-405-8948
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-02
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH20066101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health