Provider Demographics
NPI:1417249731
Name:THE STARTING PLACE, INC.
Entity Type:Organization
Organization Name:THE STARTING PLACE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CARY
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCOPE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:954-327-4068
Mailing Address - Street 1:351 N STATE ROAD 7
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2859
Mailing Address - Country:US
Mailing Address - Phone:954-327-4060
Mailing Address - Fax:954-792-9122
Practice Address - Street 1:351 N STATE ROAD 7
Practice Address - Street 2:SUITE 200
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2859
Practice Address - Country:US
Practice Address - Phone:954-327-4060
Practice Address - Fax:954-792-9122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-04
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW9859261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL060045801Medicaid