Provider Demographics
NPI:1114129160
Name:WEST BROWARD COUNSELING CENTER
Entity Type:Organization
Organization Name:WEST BROWARD COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAWNDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, CAP
Authorized Official - Phone:954-358-5788
Mailing Address - Street 1:12505 ORANGE DR
Mailing Address - Street 2:SUITE 907
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33330-4300
Mailing Address - Country:US
Mailing Address - Phone:954-358-5788
Mailing Address - Fax:954-358-5790
Practice Address - Street 1:12505 ORANGE DR
Practice Address - Street 2:SUITE 907
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33330-4300
Practice Address - Country:US
Practice Address - Phone:954-358-5788
Practice Address - Fax:954-358-5790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty