Provider Demographics
NPI:1629222369
Name:BITON, JENNIFER NAOMI (LMHC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:NAOMI
Last Name:BITON
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 1:3946 NW 87TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-8751
Mailing Address - Country:US
Mailing Address - Phone:954-636-9376
Mailing Address - Fax:954-587-0080
Practice Address - Street 1:3800 W BROWARD BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-1018
Practice Address - Country:US
Practice Address - Phone:954-587-1008
Practice Address - Fax:954-587-0080
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-07
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH #9183101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health