Provider Demographics
NPI:1639513872
Name:EMPATHIC PARTNERS IOP, LLC
Entity Type:Organization
Organization Name:EMPATHIC PARTNERS IOP, LLC
Other - Org Name:EMPATHIC RECOVERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:NEU
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMHC
Authorized Official - Phone:561-845-9488
Mailing Address - Street 1:1408 N KILLIAN DR STE 201
Mailing Address - Street 2:
Mailing Address - City:LAKE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33403-1961
Mailing Address - Country:US
Mailing Address - Phone:561-845-9488
Mailing Address - Fax:
Practice Address - Street 1:1408 N KILLIAN DR STE 201
Practice Address - Street 2:
Practice Address - City:LAKE PARK
Practice Address - State:FL
Practice Address - Zip Code:33403-1961
Practice Address - Country:US
Practice Address - Phone:561-845-9488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-18
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8954251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health