BROWARD CENTER FOR MENTAL HEALTH, PA.

Provider Demographics

• NPI: 1609184290
• Name: BROWARD CENTER FOR MENTAL HEALTH, PA.
• Entity Type: Organization
• Organization Name: BROWARD CENTER FOR MENTAL HEALTH, PA.
• Other - Org Name: MOUNT SINAI COMMUNITY MENTAL HEALTH CENTER, PA.
• Other - Org Type: Former Legal Business Name
• Authorized Official - Title/Position: ADMINISTRATOR
• Authorized Official - Prefix: MRS
• Authorized Official - First Name: BARBARA
• Authorized Official - Last Name: IRIZARRY-LUKE
• Authorized Official - Credentials: RN
• Authorized Official - Phone: 754-816-3071
• Mailing Address - Street 1: 3127 W HALLANDALE BEACH BLVD
• Mailing Address - Street 2: SUITE 115
• Mailing Address - City: HALLANDALE
• Mailing Address - State: FL
• Mailing Address - Zip Code: 33009-5150
• Mailing Address - Country: US
• Mailing Address - Phone: 754-816-3071
• Mailing Address - Fax: 754-816-3077
• Practice Address - Street 1: 3127 W HALLANDALE BEACH BLVD
• Practice Address - Street 2: SUITE 115
• Practice Address - City: PEMBROKE PARK
• Practice Address - State: FL
• Practice Address - Zip Code: 33009-5150
• Practice Address - Country: US
• Practice Address - Phone: 754-816-3071
• Practice Address - Fax: 754-816-3071
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2010-09-17
• Last Update Date: 2011-10-21

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	103TC1900X	Behavioral Health & Social Service Providers	Psychologist	Counseling	Group - Multi-Specialty
No	101YA0400X	Behavioral Health & Social Service Providers	Counselor	Addiction (Substance Use Disorder)	Group - Multi-Specialty
No	101YM0800X	Behavioral Health & Social Service Providers	Counselor	Mental Health	Group - Multi-Specialty
No	101YP2500X	Behavioral Health & Social Service Providers	Counselor	Professional	Group - Multi-Specialty
No	103T00000X	Behavioral Health & Social Service Providers	Psychologist		Group - Multi-Specialty
No	103TA0400X	Behavioral Health & Social Service Providers	Psychologist	Addiction (Substance Use Disorder)	Group - Multi-Specialty
No	103TB0200X	Behavioral Health & Social Service Providers	Psychologist	Cognitive & Behavioral	Group - Multi-Specialty
No	103TC2200X	Behavioral Health & Social Service Providers	Psychologist	Clinical Child & Adolescent	Group - Multi-Specialty
No	103TF0000X	Behavioral Health & Social Service Providers	Psychologist	Family	Group - Multi-Specialty
No	103TP0016X	Behavioral Health & Social Service Providers	Psychologist	Prescribing (Medical)	Group - Multi-Specialty
No	103TP2701X	Behavioral Health & Social Service Providers	Psychologist	Group Psychotherapy	Group - Multi-Specialty
No	103TR0400X	Behavioral Health & Social Service Providers	Psychologist	Rehabilitation	Group - Multi-Specialty
No	104100000X	Behavioral Health & Social Service Providers	Social Worker		Group - Multi-Specialty
No	1041C0700X	Behavioral Health & Social Service Providers	Social Worker	Clinical	Group - Multi-Specialty
No	106H00000X	Behavioral Health & Social Service Providers	Marriage & Family Therapist		Group - Multi-Specialty