Provider Demographics
NPI:1164072864
Name:S&K THERAPEUTIC ALLIANCE AND CONSULTANT LLC
Entity Type:Organization
Organization Name:S&K THERAPEUTIC ALLIANCE AND CONSULTANT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHEREE
Authorized Official - Middle Name:
Authorized Official - Last Name:OO
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:786-626-7668
Mailing Address - Street 1:15930 NW 38TH CT
Mailing Address - Street 2:
Mailing Address - City:OPA LOCKA
Mailing Address - State:FL
Mailing Address - Zip Code:33054-6720
Mailing Address - Country:US
Mailing Address - Phone:786-626-7668
Mailing Address - Fax:
Practice Address - Street 1:15930 NW 38TH CT
Practice Address - Street 2:
Practice Address - City:OPA LOCKA
Practice Address - State:FL
Practice Address - Zip Code:33054-6720
Practice Address - Country:US
Practice Address - Phone:786-626-7668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-13
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty