Provider Demographics
NPI:1336680073
Name:THE CARING COUCH, LLC
Entity Type:Organization
Organization Name:THE CARING COUCH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PRISCILLA
Authorized Official - Middle Name:REIS
Authorized Official - Last Name:VALADARES
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:888-686-2485
Mailing Address - Street 1:2525 EMBASSY DR
Mailing Address - Street 2:STE. 10
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33026-4573
Mailing Address - Country:US
Mailing Address - Phone:888-686-2485
Mailing Address - Fax:
Practice Address - Street 1:2525 EMBASSY DR
Practice Address - Street 2:STE. 10
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33026-4573
Practice Address - Country:US
Practice Address - Phone:888-686-2485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-14
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH101YM0800X
221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt TherapistGroup - Multi-Specialty