Provider Demographics
NPI:1427225374
Name:SCHWARTZ, JODY DENISE (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:JODY
Middle Name:DENISE
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2499 GLADES RD
Mailing Address - Street 2:#108
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431
Mailing Address - Country:US
Mailing Address - Phone:561-353-5353
Mailing Address - Fax:561-361-0368
Practice Address - Street 1:2499 GLADES RD
Practice Address - Street 2:#108
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431
Practice Address - Country:US
Practice Address - Phone:561-353-5353
Practice Address - Fax:561-361-0368
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-09
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH4126101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health