Provider Demographics
NPI:1528599594
Name:SAPOZNIK PSYCHOTHERAPY, P.A.
Entity Type:Organization
Organization Name:SAPOZNIK PSYCHOTHERAPY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST - OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAPOZNIK
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:954-798-1969
Mailing Address - Street 1:1920 E HALLANDALE BEACH BLVD
Mailing Address - Street 2:609
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-4722
Mailing Address - Country:US
Mailing Address - Phone:954-798-1969
Mailing Address - Fax:305-931-3959
Practice Address - Street 1:1920 E HALLANDALE BEACH BLVD
Practice Address - Street 2:609
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-4722
Practice Address - Country:US
Practice Address - Phone:954-798-1969
Practice Address - Fax:305-931-3959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-22
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT1875106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty