Provider Demographics
NPI:1619149432
Name:GRECSEK, CHARLENE MARIE (EDD, LMHC)
Entity Type:Individual
Prefix:DR
First Name:CHARLENE
Middle Name:MARIE
Last Name:GRECSEK
Suffix:
Gender:F
Credentials:EDD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 W OAKLAND PARK BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33311-1361
Mailing Address - Country:US
Mailing Address - Phone:954-484-0051
Mailing Address - Fax:954-485-4452
Practice Address - Street 1:2800 W OAKLAND PARK BLVD STE 208
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33311-1361
Practice Address - Country:US
Practice Address - Phone:954-484-0051
Practice Address - Fax:954-485-4452
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH5577OtherMEDICAL QUALITY ASSURANCE