Provider Demographics
NPI:1609915065
Name:COHEN, PAUL (MSW, LMHC)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:
Last Name:COHEN
Suffix:
Gender:M
Credentials:MSW, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11565 GORHAM DR
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33026-3763
Mailing Address - Country:US
Mailing Address - Phone:954-432-6760
Mailing Address - Fax:954-432-6760
Practice Address - Street 1:601 S. SR 7
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2128
Practice Address - Country:US
Practice Address - Phone:954-321-2296
Practice Address - Fax:954-321-5399
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5344101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health